MS. Susan Riddle Gordon, LCSW

NPI #1285678359 in Tifton, Georgia

Provider Information

NPI Number
1285678359
Entity Type
Individual
Name
MS. Susan Riddle Gordon, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 16, 2006
Last Updated
Dec 2, 2008

Practice Location

Address
2402 TIFT AVE N
Address 2
SUITE 102
City
Tifton
State
Georgia
ZIP Code
31794-1883
Phone
(229) 392-6600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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