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1902292766
SHAKINA M GORDON
DANBURY, CT
NPI
1902292766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-04-08
Last Update Date
2015-04-08
Business Address
SHAKINA M GORDON BA,AS
72 WEST ST DANBURY CLINICAL SERVICES
DANBURY, CT 06810-6531
Phone number: 203-797-9778
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Mailing Address
SHAKINA M GORDON BA,AS
141 E MAIN ST 4TH FLOOR-ADMINISTRATION
WATERBURY, CT 06702-2310
Phone number: 203-574-9000
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