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1356843353
IVY MARIE GORDON
EUREKA, CA
NPI
1356843353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
IVY MARIE GORDON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2987
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Mailing Address
IVY MARIE GORDON
720 WOOD ST
EUREKA, CA 95501-4413
Phone number:
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