ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC

PORT JEFFERSON STATION, NY
NPI1295367019
Entity TypeOrganization
Authorized ContactELLEN GORDON
Lcsw
631-649-6278
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-02-10
Last Update Date2022-03-09
Business Address
ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
8 ROOSEVELT AVE
PORT JEFFERSON STATION, NY 11776-3337
Phone number: 631-736-7707
Mailing Address
ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
507 EMPIRE AVE
WEST BABYLON, NY 11704-3306
Phone number: 631-649-6278
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