MRS. MARIA WILLIS GORDON LISW LICDC NPI 1902829682

NPI Information

MRS. Maria Willis Gordon, LISW, LICDC is a social worker in Canton, OH. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MRS. Maria Willis Gordon, LISW, LICDC NPI is 1902829682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1930 FULTON RD NW
SUITE 102
CANTON, OH
ZIP 44709-526
Phone: (330) 430-9535
Fax: (330) 430-9534

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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