Individual
MRS. LISA MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 TIMBER RIDGE CIR, NASHVILLE, TN 37211-7973
(615) 975-2008
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149031436
IL
104100000X
Social Worker
Primary
LSW0000010568
TN
Other
Enumeration date
03/01/2023
Last updated
03/04/2026
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