Individual
MRS. BRENDA LEE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
1901A BUENA VISTA AVE, CARTHAGE, MO 64836-3178
(417) 358-3440
(417) 359-5617
Mailing address
10088 DEER WOOD DR, JOPLIN, MO 64804-8359
(417) 624-4325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MO01639
MO
Other
Enumeration date
05/08/2007
Last updated
10/18/2007
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