KENRIC GORDON

LMSW specializing in social worker in Chubbuck, Idaho

NPI: 1114540804

Provider Type

1

Practice Locations

Mailing Location

210 W BURNSIDE AVE STE A

CHUBBUCK, ID 83202

📞 2082389000

Practice Location

210 W BURNSIDE AVE STE A

CHUBBUCK, ID 83202

📞 2082389000

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:5/28/2020
Last Updated:5/28/2020

Credentials

Primary Credential:LMSW
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KENRIC GORDON - Social Worker in Chubbuck, Idaho