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1760981864
MARGARET ANN GORDON
PORT JERVIS, NY
NPI
1760981864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 33529)
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
MARGARET ANN GORDON CASAC-T
17 SUSSEX ST
PORT JERVIS, NY 12771-2430
Phone number: 845-856-6344
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Mailing Address
MARGARET ANN GORDON CASAC-T
17 SUSSEX ST
PORT JERVIS, NY 12771-2430
Phone number: 845-856-6344
Copy
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