Individual
MISS AUBREY MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 492-8080
Mailing address
438 W PLUM ST, TIPP CITY, OH 45371-1848
(937) 216-4559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171164
OH
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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