Individual provider · Type 1 NPI
Alicia Gordon, LCSW
Developmental Disabilities Clinic/Center · Fitzgerald, GA
Practice location
132 Carol Cir
Fitzgerald, GA 31750-8128
Mailing address
5464 Club Cir
Haverhill, FL 33415-1262
Other practice locations
- 5464 Club Cir, Haverhill, FL 33415-1262 · (561) 252-7261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: 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.).
Another provider at this address
About NPI 1285149955
Alicia Gordon, LCSW's National Provider Identifier is 1285149955, issued on Dec 4, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Fitzgerald, GA. The record was last updated on Nov 9, 2020.