Most Relevant Information
Provider Data
| NPI Number: | 1003234840 |
| Provider Name: | STEPHANIE GORDON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 4442 |
Most Important Dates
| Enumeration Date: | 03/30/2014 |
| Last Updated: | 03/30/2014 |
Provider Practice Location
1900 S ACADIAN THRUWAY
BATON ROUGE
LA
708081665
Practice Location Phone/Fax
| Phone: | 2253368700 |
| Fax: |
Provider Mailing Location
1900 S ACADIAN THRUWAY
BATON ROUGE
LA
708081665
Provider Mailing Phone/Fax
| Phone: | 2253368700 |
| Fax: |