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Maria Willis Gordon, LISW, LICDC

Social Worker in Canton, OH. Individual provider (NPI-1).

NPI number1902829682
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1902829682
Entity type
Individual (NPI-1)
Name
Mrs. Maria Willis Gordon
Credential
LISW, LICDC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerI5078OHYes

Practice location

1930 Fulton Rd Nw
Suite 102
Canton, OH 44709-3526

Phone 330-430-9535 · Fax 330-430-9534

Mailing address

Po Box 9444
Canton, OH 44711-9444

Phone 330-430-9535 · Fax 330-430-9534

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