Gordon Medlock, PHD, LCSW
Gordon Medlock, PHD, LCSW is a Clinical Social Worker in Michigan City, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2016
What do these letters mean?
Practice location Address checks out
340 Commerce SqMichigan City, IN 46360-3374
Phone: (219) 879-3283
Fax: (219) 879-6965
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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 · Licence 34003808A (IN) |
|---|
Record details
| NPI number | 1669917829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD , LCSW |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2016 |
| Last updated in NPPES | December 27, 2016 |
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