Individual
LISA JOY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
5904 E BRAMBLE BERRY LN, CAVE CREEK, AZ 85331-1577
(248) 376-5114
Mailing address
5904 E BRAMBLE BERRY LN, CAVE CREEK, AZ 85331-1577
(248) 376-5114
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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