Gordon, Laine Maren

Gordon, Laine Maren is an individual health care provider with primary practice located at 1599 J St , Grand Forks Afb ND 58205-6306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Laine Maren can be contacted via phone (701) 747-6463.

Contact Information

Primary practice address
1599 J St Grand Forks Afb ND 58205-6306
Phone: (701) 747-6463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.09925184 Colorado

Profile Details

NPI number 1982181749
LBN Legal business name Gordon, Laine Maren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated Jan 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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