Individual
KATHERINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4R REBECCA LN, DERRY, NH 03038-7225
(603) 505-1420
Mailing address
4R REBECCA LN, DERRY, NH 03038-7225
(603) 505-1420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
05/14/2020
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