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Individual

MRS. AISHA GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3733 UNIVERSITY BLVD W, SUITE 212G, JACKSONVILLE, FL 32217
(904) 343-5008
(904) 765-0664
Mailing address
3733 UNIVERSITY BLVD W, SUITE 212G, JACKSONVILLE, FL 32217
(904) 343-5008
(904) 765-0664

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW21419
FL
1041C0700X
Clinical Social Worker

Other

Enumeration date
09/23/2016
Last updated
10/21/2024
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