Individual
AMANDA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8848-C
NV
Other
Enumeration date
06/10/2016
Last updated
08/02/2023
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