Individual
MS. PATRICIA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4105 HOSPITAL ST, SUITE 104, PASCAGOULA, MS 39581-5312
(228) 696-9224
(228) 696-9228
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-8874
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5683
MS
Other
Enumeration date
09/13/2006
Last updated
08/22/2013
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