Individual
MR. ALAN T GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1247 7TH ST STE 300, SANTA MONICA, CA 90401-1644
(310) 945-6811
Mailing address
4139 VIA MARINA # 1302, MARINA DEL REY, CA 90292-5385
(310) 945-6811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25632
CA
Other
Enumeration date
03/07/2007
Last updated
09/09/2009
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