Individual
DEVRA SARA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
801 N QUINCY ST STE 620, ARLINGTON, VA 22203-1729
(703) 812-4642
Mailing address
13563 POINT PLEASANT DR, CHANTILLY, VA 20151-2442
(618) 558-4326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012837
VA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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