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1518982362
CAROL EVELYN GORDON
EVANSTON, IL
NPI
1518982362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149001473)
Enumeration Date
2006-07-13
Last Update Date
2008-07-25
Business Address
Mrs. CAROL EVELYN GORDON lcsw
9443 DRAKE AVE
EVANSTON, IL 60203-1105
Phone number: 847-677-9187
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Mailing Address
Mrs. CAROL EVELYN GORDON lcsw
9443 DRAKE AVE
EVANSTON, IL 60203-1105
Phone number: 847-677-9187
Copy
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