Individual
CHANDNIESHA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
BSW, PCCSS
Contact information
Practice address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 453-6211
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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