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1770804965
SUSAN G. GORDON
SAN DIEGO, CA
NPI
1770804965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS14677)
Enumeration Date
2010-06-22
Last Update Date
2010-06-22
Business Address
-- SUSAN G. GORDON LCSW
3020 CHILDRENS WAY # MC5016
SAN DIEGO, CA 92123-4223
Phone number: 858-966-4011
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Mailing Address
-- SUSAN G. GORDON LCSW
3020 CHILDRENS WAY # MC5016
SAN DIEGO, CA 92123-4223
Phone number: 858-966-4011
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