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Contact Information

LISA GORDON, LMSW
1685 BALDWIN AVE
PONTIAC, MI48340-1242
 Phone: 248-706-3450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for LISA GORDON · (Female)

NPI # 1558958207
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 12/29/2020
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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