Individual
LAURA J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Mailing address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006382
MI
Other
Enumeration date
10/13/2006
Last updated
05/12/2017
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