Lisa G Gordon LCSW

NPI 1780732107 - Social Worker - 104100000X

NPI Details
NPI 1780732107
Gender Female
Enumeration Date 01/08/2007
Last Updated 06/01/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
6800 BACKLICK RD
SUITE #202
SPRINGFIELD VA, 22150-3070, US
Phone (703) 921-0692
Fax (703) 921-0637
Business Location
6800 BACKLICK RD
SUITE #202
SPRINGFIELD VA, 22150-3070, US
Phone (703) 921-0692
Fax (703) 921-0637
Toxanomy
Taxonomy Code 104100000X
License State Virginia
License Number 0904003348
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According to our database, Ms. Lisa G Gordon LCSW NPI is 1780732107, taxonomy code is 104100000X and license number is 0904003348, license state is located at Virginia. Lisa G Gordon LCSW physically located at 6800 Backlick Rd, Springfield VA, 22150-3070. NPI Number Lisa G Gordon LCSW has the Individual type.

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1780732107 NPI number is provided on an as is basis without warranty of any kind. 1780732107 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa G Gordon LCSW are for informational purposes only.