WADE GORDON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1376740134
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LCSW-27205 (ID) |
Frequently Asked Questions
NPI 1376740134 is the National Provider Identifier for WADE GORDON, LCSW, a Social Worker - Clinical provider located in Rexburg, ID. This NPI was enumerated on June 27, 2007.
WADE GORDON, LCSW practices at 310 N 2ND E, SUITE 128, Rexburg, ID 83440.
Quick Facts
- NPI
- 1376740134
- Type
- Individual
- Enumerated
- Jun 27, 2007
- Last Updated
- Jul 8, 2007
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