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1922754753
MARY ANN N/A GORDON
HARRISBURG, PA
NPI
1922754753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
MARY ANN N/A GORDON
3601 N PROGRESS AVE
HARRISBURG, PA 17110-9100
Phone number: 717-233-7290
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Mailing Address
MARY ANN N/A GORDON
3601 N PROGRESS AVE
HARRISBURG, PA 17110-9100
Phone number: 717-233-7290
Copy
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