Most Relevant Information
Provider Data
| NPI Number: | 1003485962 |
| Provider Name: | SHIRLEY L GORDON CAC, CMHT, CPRS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2021 |
| Last Updated: | 10/05/2021 |
Provider Practice Location
92 W WASHINGTON ST
ANNAPOLIS
MD
214012432
Practice Location Phone/Fax
| Phone: | 4439499545 |
| Fax: | 2403660055 |
Provider Mailing Location
55 CLAY ST
ANNAPOLIS
MD
214012402
Provider Mailing Phone/Fax
| Phone: | 4439499545 |
| Fax: |