Individual
MS. LORI ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, PLCSW
Contact information
Practice address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 534-9350
(314) 531-0372
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 534-9350
(314) 531-0372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008011624
MO
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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