Individual
CHAYA RAIZEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 HOLLYWOOD BLVD UNIT H, HOLLYWOOD, FL 33020-6605
(954) 361-4535
Mailing address
2419 HOLLYWOOD BLVD UNIT H, HOLLYWOOD, FL 33020-6605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20105
FL
Other
Enumeration date
03/08/2024
Last updated
03/14/2024
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