Individual
OFELIA G. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
2784 N DECATUR RD, SUITE 145, DECATUR, GA 30033-5903
(404) 292-2664
(404) 292-2835
Mailing address
2784 N DECATUR RD, SUITE 145, DECATUR, GA 30033-5903
(404) 292-2664
(404) 292-2835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
152
GA
106H00000X
Marriage & Family Therapist
303
GA
Other
Enumeration date
11/30/2006
Last updated
08/23/2010
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