Individual
SYDNEY PAGE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
1799 STUMPF BLVD, TERRYTOWN, LA 70056-3950
(504) 656-4325
Mailing address
4530 14TH ST, MARRERO, LA 70072-3861
(504) 715-1193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
PLM1554
LA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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