MR. Colt Gordon, LCSW 110973

NPI #1538762471 in Cody, Wyoming

Provider Information

NPI Number
1538762471
Entity Type
Individual
Name
MR. Colt Gordon, LCSW 110973
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW 110973
Enumeration Date
Nov 20, 2020
Last Updated
Jan 31, 2024

Practice Location

Address
627 15TH ST
City
Cody
State
Wyoming
ZIP Code
82414-3109
Phone
(619) 453-5063

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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