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1740278688
PHYLLIS ARLENE GORDON
CHATTANOOGA, TN
NPI
1740278688
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Former Name
PHYLLIS ARLENE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW00882)
Enumeration Date
2005-10-13
Last Update Date
2007-07-08
Business Address
-- PHYLLIS ARLENE GORDON MSSW
600 N HOLTZCLAW AVE STE 100
CHATTANOOGA, TN 37404-1242
Phone number: 423-622-0500
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Mailing Address
-- PHYLLIS ARLENE GORDON MSSW
PO BOX 1065
CHATTANOOGA, TN 37401-1065
Phone number:
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