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1952431629
GARY LEE GORDON
SPRINGFIELD, VA
NPI
1952431629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904003552)
Enumeration Date
2007-03-06
Last Update Date
2009-06-02
Business Address
Mr. GARY LEE GORDON LCSW
6800 BACKLICK RD SUITE 202
SPRINGFIELD, VA 22150-3070
Phone number: 703-921-0692
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Mailing Address
Mr. GARY LEE GORDON LCSW
6551 LOISDALE COURT SUITE 155
SPRINGFIELD, VA 22150-1808
Phone number: 703-921-0692
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