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Alicia Gordon, LCSW
Developmental Disabilities Clinic/Center in Fitzgerald, Georgia
NPI 1285149955

Alicia Gordon is a Developmental Disabilities Clinic/Center based in Haverhill, GA and is specialized in Developmental Disabilities. Alicia Gordon practices in Fitzgerald, GA and has the professional credentials of LCSW. The NPI Number for Alicia Gordon is 1285149955 and holds a License No. (Georgia).

The current practice location address for Alicia Gordon is 132 Carol Cir, Fitzgerald, GA and can be reached out via phone at 561-252-7261.

Location: 132 Carol Cir, Fitzgerald, GA, 33415-1262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285149955
Provider Name
Alicia Gordon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
132 Carol Cir, Fitzgerald, GA, 33415-1262
Phone Number
561-252-7261
Fax Number
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
132 Carol Cir
City
Fitzgerald
State
Georgia
Zip
31750-8128
Phone Number
561-252-7261
Fax Number
person
Provider Business Mailing Address Details
Address
132 Carol Cir
City
Fitzgerald
State
Georgia
Zip
31750-8128
Phone Number
561-252-7261
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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