Individual
CHEYENNE JANAY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4407 116TH ST NE, MARYSVILLE, WA 98271-8568
(425) 418-8373
Mailing address
23511 56TH AVE W UNIT 211, MOUNTLAKE TERRACE, WA 98043-5279
(425) 418-8373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61426839
WA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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