GORDON MEDLOCK

MICHIGAN CITY, IN
NPI1669917829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34003808A)
Enumeration Date2016-12-27
Last Update Date2016-12-27
Business Address
-- GORDON MEDLOCK PhD, LCSW
340 COMMERCE SQ
MICHIGAN CITY, IN 46360-3374
Phone number: 219-879-3283
Mailing Address
-- GORDON MEDLOCK PhD, LCSW
340 COMMERCE SQ
MICHIGAN CITY, IN 46360-3374
Phone number: 219-879-3283
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