Male or Other

Mr. Jonathan M. Gordon LMSW

Social Worker in Gainesville, FL(View on Map)

Full Name

Mr. Jonathan Mitchell Gordon LMSW

NPI Number

1174258941

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/18/2022

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

093789

Contact
Information

Purpose

Mailing
Location

Address

1601 SW ARCHER RD
1601 SW ARCHER RD

City

Gainesville
Gainesville

State

FL
FL

Postal Code

32608-1135
32608-1135

Country

US
US

Telephone Number

(202) 680-0035
(202) 680-0035

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/18/2022

Provider Address

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