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1669843124
JENNIFER A GORDON
RIVERSIDE, CA
NPI
1669843124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-10-09
Last Update Date
2017-01-26
Business Address
-- JENNIFER A GORDON CADC-II
4295 BROCKTON AVE
RIVERSIDE, CA 92501
Phone number: 951-341-3786
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Mailing Address
-- JENNIFER A GORDON CADC-II
5870 ARLINGTON AVE STE 103
RIVERSIDE, CA 92504
Phone number: 951-351-1409
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