Individual
MRS. ANDREA JEAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203
(360) 678-5555
Mailing address
1250 SW HELLER ST APT G4, OAK HARBOR, WA 98277-4507
(360) 682-6016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00060010
WA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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