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Individual

DAMION GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 W BROAD AVE, ALBANY, GA 31701-2468
(229) 639-0477
(229) 639-0478
Mailing address
149 SENAH DR, LEESBURG, GA 31763-5719
(229) 759-7445

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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