ELLEN GORDON

CORAM, NY
NPI1780238725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  045927-1)
Enumeration Date2019-07-29
Last Update Date2019-07-29
Business Address
ELLEN GORDON LMSW
1844 ROUTE 112 STE A
CORAM, NY 11727-2337
Phone number: 631-736-7707
Mailing Address
ELLEN GORDON LMSW
507 EMPIRE AVE
WEST BABYLON, NY 11704-3306
Phone number:
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