# MS. STEPHANIE JEAN GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619309945
- **Gender:** F
- **Credential:** L.AC., MSTOM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 84000170A | IN | Yes |
| 374J00000X | Doula | — | IL | — |

## Other

- **Enumeration date:** 08/09/2013
- **Last updated:** 07/21/2022