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1760262240
STEPHEN GORDON
LEXINGTON, KY
NPI
1760262240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
STEPHEN GORDON
1221 PROVIDENCE LN
LEXINGTON, KY 40502-2380
Phone number: 540-219-9672
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Mailing Address
STEPHEN GORDON
1221 PROVIDENCE LN
LEXINGTON, KY 40502-2380
Phone number:
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