| Patricia E. Gordon, Lcsw-r, Llc | |
|
68 Virginia Ave #7 Danbury CT 06810-5764 | |
| (203) 733-8033 | |
| (203) 612-2337 |
| Full Name | Patricia E. Gordon, Lcsw-r, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 68 Virginia Ave, Danbury, Connecticut |
| Authorized Official Name and Position | Patricia E. Gordon (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2037338033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia E. Gordon, Lcsw-r, Llc 68 Virginia Ave #7 Danbury CT 06810-5764 Ph: (203) 733-8033 | Patricia E. Gordon, Lcsw-r, Llc 68 Virginia Ave #7 Danbury CT 06810-5764 Ph: (203) 733-8033 |
| NPI Number | 1043687825 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043687825 | NPI | - | NPPES |
| D30069939 | Other | CT | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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