Gordon, Gary Lee

Gordon, Gary Lee is an individual health care provider with primary practice located at 6800 Backlick Rd Suite 202, Springfield VA 22150-3070. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gordon, Gary Lee can be contacted via phone (703) 921-0692.

Contact Information

Primary practice address
6800 Backlick Rd Suite 202 Springfield VA 22150-3070
Phone: (703) 921-0692
Fax: (703) 921-0692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003552 Virginia

Profile Details

NPI number 1952431629
LBN Legal business name Gordon, Gary Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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