Individual
PATRICIA HOLLY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 AMHERST LN, OAK RIDGE, TN 37830-5804
(631) 312-1409
Mailing address
125 AMHERST LN, OAK RIDGE, TN 37830-5804
(631) 312-1409
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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