Individual
SANDRA J GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
25 TY LN, PENACOOK, NH 03303-1049
(603) 717-8324
Mailing address
25 TY LN, PENACOOK, NH 03303-1049
(603) 717-8324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1612
NH
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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