SHANNON GORDON, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1134486426
Practice Address
55 LAKE AVE NUMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY
Worcester, MA 01655
Phone: (774) 442-2671
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 116366 (MA) |
Frequently Asked Questions
NPI 1134486426 is the National Provider Identifier for SHANNON GORDON, LICSW, a Social Worker - Clinical provider located in Worcester, MA. This NPI was enumerated on April 12, 2012.
SHANNON GORDON, LICSW practices at 55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY, Worcester, MA 01655.
Quick Facts
- NPI
- 1134486426
- Type
- Individual
- Enumerated
- Apr 12, 2012
- Last Updated
- Apr 12, 2012
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