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1508533555
CALLISTA ANN GORDON
SOUTH BEND, IN
NPI
1508533555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
CALLISTA ANN GORDON
1001 N HICKORY RD
SOUTH BEND, IN 46615-3702
Phone number: 574-314-5987
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Mailing Address
CALLISTA ANN GORDON
503 DOWNEY AVE
MISHAWAKA, IN 46544-3455
Phone number: 574-220-4701
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