Individual
MS. CHARLENE BRENDA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3392
(248) 849-2797
Mailing address
16001 WEST NINE MILE ROAD, SOUTHFIELD, MI 48075
(248) 849-3392
(248) 849-2797
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000454
MI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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