Stacy Frances Gordon

NPI #1568839785 in Brookhaven, New York

Provider Information

NPI Number: 1568839785
Entity Type: Individual
Name: Stacy Frances Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 24, 2015
Last Updated: Aug 24, 2015

Practice Location

Address: 36 EDGAR AVE
City: Brookhaven
State: New York
ZIP Code: 11719-9655
Phone: (631) 286-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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