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1376030122
SUSAN ELIZABETH GORDON
FREDERICK, MD
NPI
1376030122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD LCA-348)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
Ms. SUSAN ELIZABETH GORDON LCADC-C
300 W 9TH ST
FREDERICK, MD 21701-4541
Phone number: 667-600-3310
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Mailing Address
Ms. SUSAN ELIZABETH GORDON LCADC-C
300 W 9TH ST
FREDERICK, MD 21701-4541
Phone number: 667-600-3310
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