Callista Ann Gordon
Callista Ann Gordon is a Clinical Social Worker in South Bend, Indiana. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1001 N Hickory RdSouth Bend, IN 46615-3702
Phone: (574) 314-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1508533555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | August 26, 2021 |
| Certification date | August 26, 2021 |
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