Individual
KAREN DENISE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 THOMAS DR, SIKESTON, MO 63801-4642
(573) 380-7017
Mailing address
210 THOMAS DR, SIKESTON, MO 63801-4642
(573) 380-7017
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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