Gordon, Michele M
Gordon, Michele M is an individual health care provider with primary practice located at 8 N 2Nd Ave E , Duluth MN 55802-2102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gordon, Michele M can be contacted via phone (218) 625-0188.Contact Information
Primary practice address
8 N 2Nd Ave E
Duluth MN 55802-2102
Phone: (218) 625-0188
Fax: (218) 625-0188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 11333 | Minnesota |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 764 | Minnesota |
Profile Details
NPI number | 1720071921 |
---|---|
LBN Legal business name | Gordon, Michele M |
Credentials | LICSW LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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