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Organization
SHEILA H GORDON LCSW PC
Active
Organization
SHEILA H GORDON LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA H GORDON LCSW (PRESIDENT)
(757) 461-3313
Entity
Organization
Contact information
Practice address
6353 CENTER DR, SUITE 204 BUILDING 8, NORFOLK, VA 23502-4112
(757) 461-3313
(757) 461-8363
Mailing address
6353 CENTER DR, SUITE 204 BUILDING 8, NORFOLK, VA 23502-4112
(757) 461-3313
(757) 461-8363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002376
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008909644
—
VA
Enumeration date
04/01/2009
Last updated
04/01/2009
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