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1386775104
ALAN T GORDON
SANTA MONICA, CA
NPI
1386775104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25632)
Enumeration Date
2007-03-07
Last Update Date
2009-09-09
Business Address
Mr. ALAN T GORDON LCSW
1247 7TH ST STE 300
SANTA MONICA, CA 90401-1644
Phone number: 310-945-6811
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Mailing Address
Mr. ALAN T GORDON LCSW
4139 VIA MARINA # 1302
MARINA DEL REY, CA 90292-5385
Phone number: 310-945-6811
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