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1992451892
MICHAEL GORDON
BALTIMORE, MD
NPI
1992451892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
MICHAEL GORDON CAC-AD
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
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Mailing Address
MICHAEL GORDON CAC-AD
21 W 25TH ST
BALTIMORE, MD 21218-5003
Phone number: 410-366-1717
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