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1285149955
ALICIA GORDON
FITZGERALD, GA
NPI
1285149955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2017-12-04
Last Update Date
2020-11-09
Business Address
ALICIA GORDON LCSW
132 CAROL CIR
FITZGERALD, GA 31750-8128
Phone number: 561-252-7261
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Mailing Address
ALICIA GORDON LCSW
5464 CLUB CIR
HAVERHILL, FL 33415-1262
Phone number: 561-252-7261
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