Holly Lee Gordon, LCSW

NPI #1215169602 in Mastic Beach, New York

Provider Information

NPI Number: 1215169602
Entity Type: Individual
Name: Holly Lee Gordon, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Aug 18, 2009
Last Updated: Jan 15, 2025

Practice Location

Address: 468 MAIN ST
City: Mastic Beach
State: New York
ZIP Code: 11951-3407
Phone: (631) 294-0216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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