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1932933884
CALLISTA GORDON THERAPY, LLC
SOUTH BEND, IN
NPI
1932933884
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Entity Type
Organization
Authorized Contact
CALLISTA GORDON
Owner
574-220-4701
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
CALLISTA GORDON THERAPY, LLC
53846 GENERATIONS DR
SOUTH BEND, IN 46635-1543
Phone number: 574-701-2799
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Mailing Address
CALLISTA GORDON THERAPY, LLC
503 DOWNEY AVE
MISHAWAKA, IN 46544-3455
Phone number: 574-220-4701
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