Individual
STEPHANIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 S ACADIAN THRUWAY, BATON ROUGE, LA 70808-1665
(225) 336-8700
Mailing address
1900 S ACADIAN THRUWAY, BATON ROUGE, LA 70808-1665
(225) 336-8700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4442
LA
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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