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Individual

MS. SUZANNE LYNN GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1209 MONTE LARGO CT NE, ALBUQUERQUE, NM 87123-1826
(505) 385-4733
Mailing address
11306 RICHFIELD AVE NE, ALBUQUERQUE, NM 87122-4188
(505) 385-4733

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1301
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1301
STATE LICENSE
NM
Enumeration date
12/01/2006
Last updated
07/08/2007
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