MS. Laraine Diane Gordon, LCSW-R
NPI #1518109503 in Southampton, New York
Provider Information
- NPI Number
- 1518109503
- Entity Type
- Individual
- Name
- MS. Laraine Diane Gordon, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-R
- Enumeration Date
- Apr 6, 2009
- Last Updated
- Apr 6, 2009
Practice Location
- Address
- 26 HENRY ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4016
- Phone
- (631) 338-7258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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