Individual
LISA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(253) 682-8185
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9454
AZ
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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