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1265961205
JUSTIN GORDON
PEACHTREE CORNERS, GA
NPI
1265961205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW005873)
Enumeration Date
2017-06-05
Last Update Date
2017-06-05
Business Address
JUSTIN GORDON LCSW
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071-1727
Phone number: 404-900-5450
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Mailing Address
JUSTIN GORDON LCSW
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071-1727
Phone number:
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