Individual
MRS. ANDREA MARIE DAVIS-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 COURAGE WAY, VIRGINIA BEACH, VA 23451-5594
(757) 734-1866
(757) 734-1882
Mailing address
401 COURAGE WAY, VIRGINIA BEACH, VA 23451-5594
(757) 478-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007613
VA
1041C0700X
Clinical Social Worker
SW18612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871542340
—
VA
05
—
Q38487A
—
VA
Enumeration date
07/15/2011
Last updated
01/26/2023
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