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Individual

MRS. JESSICA SUE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AT

Contact information

Practice address
417 W MAIN ST, SUITE B, TRUMANN, AR 72472-3116
(870) 483-7039
(870) 483-0590
Mailing address
5537 BLEAUX AVE, SPRINGDALE, AR 72762-0737
(479) 872-5580
(479) 872-5581

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AR

Other

Enumeration date
09/10/2008
Last updated
09/10/2008
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