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1942430160
BRUCE GORDON
NORTHFIELD, IL
NPI
1942430160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149009456)
Enumeration Date
2009-07-22
Last Update Date
2009-07-22
Business Address
Mr. BRUCE GORDON LCSW
778 FRONTAGE RD SUITE 115
NORTHFIELD, IL 60093-1209
Phone number: 312-282-1200
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Mailing Address
Mr. BRUCE GORDON LCSW
778 FRONTAGE RD SUITE 115
NORTHFIELD, IL 60093-1209
Phone number: 312-282-1200
Copy
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