Individual
MR. GARY LEE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6800 BACKLICK RD, SUITE 202, SPRINGFIELD, VA 22150-3070
(703) 921-0692
(703) 921-0692
Mailing address
6551 LOISDALE COURT, SUITE 155, SPRINGFIELD, VA 22150-1808
(703) 921-0692
(703) 921-0637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003552
VA
Other
Enumeration date
03/06/2007
Last updated
06/02/2009
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