Individual
CHRISTINA ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 678-0804
Mailing address
3018 OLD MINDEN RD, BOSSIER CITY, LA 71112-2476
(318) 746-1935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
11/12/2018
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