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Individual

LISA JOY GORDON

Active
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Individual

LISA JOY GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, ACSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801065045
MI
1041C0700X
Clinical Social Worker
Primary
15940
AZ

Other

Enumeration date
07/17/2006
Last updated
09/27/2020
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