Organization
LISA JOY GORDON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JOY GORDON LCSW, ACSW, CCM (LCSW / OWNER)
(248) 376-5114
Entity
Organization
Contact information
Practice address
5904 E BRAMBLE BERRY LN, CAVE CREEK, AZ 85331-1577
(248) 376-5114
Mailing address
5904 E BRAMBLE BERRY LN, CAVE CREEK, AZ 85331-1577
(248) 376-5114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
09/27/2020
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