Individual
CORTNEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 UNIVERSITY PKWY STE 101, WINSTON SALEM, NC 27106-3275
(336) 397-1560
Mailing address
4035 UNIVERSITY PKWY STE 101, WINSTON SALEM, NC 27106-3275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011452
NC
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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