Individual
JENNA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W POLK AVE, CHARLESTON, IL 61920-2557
(217) 639-1000
Mailing address
2208 COUNTY ROAD 715N, CASEY, IL 62420-4132
(217) 549-9723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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