GORDON L HAGBOURNE
Licensed Clinical Social Worker


Address: Apt 2d, Bronx, NY 10475

GORDON L HAGBOURNE (Credential# 782878) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.

Business Overview

GORDON L HAGBOURNE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.004721. The credential type is licensed clinical social worker. The effective date is April 1, 2011. The expiration date is March 31, 2012. The business address is Apt 2d, Bronx, NY 10475. The current status is inactive.

Basic Information

Licensee Name GORDON L HAGBOURNE
Credential ID 782878
Credential Number 58.004721
Credential Type Licensed Clinical Social Worker
Business Address Apt 2d
Bronx
NY 10475
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-05-15
Effective Date 2011-04-01
Expiration Date 2012-03-31
Refresh Date 2012-07-03

Other licenses

ID Credential Code Credential Type Issue Term Status
768270 44.000475 Licensed Alcohol and Drug Counselor 1998-11-27 2008-02-19 - 2009-03-31 INACTIVE
768986 45.000316 Certified Alcohol and Drug Counselor 1998-10-02 - 1999-03-31 INACTIVE

Office Location

Street Address Apt 2D
City Bronx
State NY
Zip Code 10475

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Judith Prah 3309 Hunter Ave, Bronx, NY 10475 Registered Nurse 2020-06-16 ~ 2020-11-30
Johnetta Miner 140 Darrow Place, Bronx, NY 10475 Registered Nurse 2019-01-01 ~ 2019-12-31
Tynisha Rodriguez 2440 Hunter Avenue, Bronx, NY 10475 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
Latoya M Notice 120 Alcott Pl., Bronx, NY 10475 Radiographer ~
Abena Adwapa 120 Elgar Place, Bronx, NY 10475 Registered Nurse 2020-08-01 ~ 2021-07-31
Katherine M Lewis 140 Alcott Place, Bronx, NY 10475 Speech and Language Pathologist 2020-05-01 ~ 2021-04-30
Iman H Drammeh 140 Dekruif Place 32 L, Bronx, NY 10475 Notary Public Appointment 2020-04-01 ~ 2025-03-31
Paris T Coles 140 Dekrup Pl 2a, Bronx, NY 10475 Emergency Medical Responder 2017-04-10 ~ 2019-12-31
Frances Meekins 4200 Hutchinson River Parkway # 12b, Bronx, NY 10475 Master's Level Social Worker 2020-04-01 ~ 2021-03-31
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Competitor

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City Bronx
Zip Code 10475
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + Bronx

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Erin B Gordon 182 Old Sib Rd, Ridgefield, CT 06877-2315 Licensed Clinical Social Worker 2013-12-03 ~ 2014-12-31
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T'kai Howard · Gordon 15 Niles Road, Windsor, CT 06095 Licensed Clinical Social Worker 2019-11-01 ~ 2020-10-31
Ellen N Gordon 14 Hillsea Road, Yarmouthport, MA 02675-1111 Licensed Clinical Social Worker 1996-11-25 ~ 1998-01-31
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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