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1508330861
JAN MARIE GORDON
INDIANAPOLIS, IN
NPI
1508330861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004719A)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
Mrs. JAN MARIE GORDON LCSW
10320 RIDGE LINE CT
INDIANAPOLIS, IN 46236-7738
Phone number: 317-823-8984
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Mailing Address
Mrs. JAN MARIE GORDON LCSW
10320 RIDGE LINE CT
INDIANAPOLIS, IN 46236-7738
Phone number: 317-823-8984
Copy
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