LARAINE DIANE GORDON

SOUTHAMPTON, NY
NPI1518109503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  058327-1)
Enumeration Date2009-04-06
Last Update Date2009-04-06
Business Address
Ms. LARAINE DIANE GORDON LCSW-R
26 HENRY ST
SOUTHAMPTON, NY 11968-4016
Phone number: 631-338-7258
Mailing Address
Ms. LARAINE DIANE GORDON LCSW-R
26 HENRY ST
SOUTHAMPTON, NY 11968-4016
Phone number: 631-338-7258
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