Individual
CAROL ANN GORDON-SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC-CS
Contact information
Practice address
5122 GLENCROSSING WAY, CINCINNATI, OH 45238-3361
(513) 827-9044
(513) 832-1332
Mailing address
5122 GLENCROSSING WAY, CINCINNATI, OH 45238-3361
(513) 827-9044
(513) 832-1332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161496
OH
104100000X
Social Worker
S.1700610
OH
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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