Individual
MONICA LYNN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S PORTER ST APT 204, MANCHESTER, NH 03103-3163
(603) 769-0506
Mailing address
640 S PORTER ST APT 204, MANCHESTER, NH 03103-3163
(603) 769-0506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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