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Amber Gordon

NPI Registration Record

Provider / OrganizationNPIDate Certified
AMBER GORDON13569452812020-11-22
Entity TypeIndividual
Provider Name Amber Gordon ACSW
Practice Office Address210 N PASS AVE STE 202
BURBANK, CA US
Practice Office Telephone8865748814
Mailing Address1349 N CHEROKEE AVE APT 203
LOS ANGELES, CA 900287747 US
Business Telephone9096801380
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY
OPI Codes

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