WADE GORDON

REXBURG, ID
NPI1376740134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-27205)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
-- WADE GORDON LCSW
310 N 2ND E SUITE 128
REXBURG, ID 83440-1600
Phone number: 208-356-5675
Mailing Address
-- WADE GORDON LCSW
310 N 2ND E SUITE 128
REXBURG, ID 83440-1600
Phone number: 208-356-5675
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