Kiera Gordon, LCSW
Social Worker, Clinical in Matteson, IL. Individual provider (NPI-1).
NPI number1164099024
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1164099024
- Entity type
- Individual (NPI-1)
- Name
- Kiera Gordon
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW18484 | FL | Yes |
Practice location
4361 Thornwood AveMatteson, IL 60443-1269
Phone 708-825-7697
Mailing address
4361 Thornwood AveMatteson, IL 60443-1269
Phone 708-825-7697
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