Alan R. Gordon, LCSW. PH.D.

NPI #1104985969 in Havana, Florida

Provider Information

NPI Number
1104985969
Entity Type
Individual
Name
Alan R. Gordon, LCSW. PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW. PH.D.
Enumeration Date
Dec 7, 2006
Last Updated
Dec 28, 2011

Practice Location

Address
797 BEAVER CREEK LN
City
Havana
State
Florida
ZIP Code
32333-4731
Phone
(850) 539-4053

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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