Cimena Gordon, LICSW

NPI #1104206630 in Roseville, Minnesota

Provider Information

NPI Number: 1104206630
Entity Type: Individual
Name: Cimena Gordon, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 29, 2015
Last Updated: May 29, 2015

Practice Location

Address: 2277 HIGHWAY 36 W
Address 2: SUITE 310
City: Roseville
State: Minnesota
ZIP Code: 55113-3804
Phone: (651) 224-2172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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