Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA GORDON, LCSW
Active Sole ProprietorALICIA GORDON, LCSW is a Developmental Disabilities Clinic healthcare provider located in FITZGERALD, Georgia. NPI 1285149955 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · FITZGERALD, GA
Registration Details
- NPI Number
- 1285149955
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2017 (8.5042244063437 yrs)
- Last Updated
- Nov 9, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 CAROL CIRFITZGERALD, GA, 317508128Browse GA providers · Browse ZIP 31750
- Phone
- 5612527261
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.