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1902994296
GERALDINE GORDON
BRIGHTON, MI
NPI
1902994296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801014040)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- GERALDINE GORDON msw
2300 GENOA BUSINESS PARK DR SUITE 180
BRIGHTON, MI 48114-7367
Phone number: 810-220-2787
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Mailing Address
-- GERALDINE GORDON msw
20990 LASER LN
SOUTH LYON, MI 48178-9229
Phone number: 248-486-5433
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