Search › Minnesota › 1041C0700X
Dianne Gordon, LICSW
NPI 1154544096 · on the registry since 2007
Practice
- Address
- 11427 Hanson Blvd Nw
Coon Rapids, MN 55433 - Phone
- (763) 754-1531
- Fax
- (763) 754-3155
- Organisation at this address
- Anoka Psychological Services, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota