Individual
JOHNICE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16031 DEBLIN SQ, HAMMOND, LA 70403-1519
(504) 457-8296
Mailing address
PO BOX 2664, HAMMOND, LA 70404-2664
(504) 457-8296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15494
LA
1041C0700X
Clinical Social Worker
Primary
15494
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/09/2016
Last updated
05/09/2025
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