Individual
JACQUELINE SHARON GORDON
Active
Individual
JACQUELINE SHARON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26891
MD
1041C0700X
Clinical Social Worker
Primary
CSW009319
GA
Other
Enumeration date
05/17/2021
Last updated
09/29/2025
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