Individual
DEJA KEANNA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3388 PRINCESS ANNE RD STE 2001, VIRGINIA BEACH, VA 23456-2612
(757) 507-7270
Mailing address
3388 PRINCESS ANNE RD STE 2001, VIRGINIA BEACH, VA 23456-2612
(757) 507-7270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013488
VA
Other
Enumeration date
01/06/2022
Last updated
01/19/2024
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