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General NPI Number Information
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NPI Number | 1952278483
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Entity Type | Organization
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Legal Business Name | SARAH GORDON LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2905 WILSON AVE SW STE 252
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City | GRANDVILLE
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State | MI
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Zip | 49418-1206
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Country | US
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Telephone | 616-634-5016
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Fax | 616-634-5016
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Provider Business Mailing Address
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Address Line | 3330 PRIMROSE DR
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City | HUDSONVILLE
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State | MI
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Zip | 49426-8853
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Country | US
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Telephone | 616-634-5016
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Fax | 616-634-5016
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Authorized Official
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Title or Position | LPC
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Name | SARAH ANNE SAINEM GORDON
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Credential |
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Telephone | 616-634-5016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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