SearchGeorgia261QD1600X

Alicia Gordon, LCSW

NPI 1285149955 · on the registry since 2017 · sole proprietor

Practice

Address
132 Carol Cir
Fitzgerald, GA 31750
Phone
(561) 252-7261
Organisation at this address
Ag Counseling
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 5464 Club Cir, Haverhill, FL

Registry record

Primary taxonomy
261QD1600X
261QD1600X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia