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1801192570
RACHEL A GORDON
FORT WAYNE, IN
NPI
1801192570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34006166A)
Enumeration Date
2011-01-28
Last Update Date
2013-03-21
Business Address
-- RACHEL A GORDON LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
-- RACHEL A GORDON LCSW
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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