Individual
LAURIE ANNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 HOLLOW PINE DR, OVIEDO, FL 32765-6161
(407) 257-0072
(407) 257-0072
Mailing address
1109 HOLLOW PINE DR, OVIEDO, FL 32765-6161
(407) 257-0072
(407) 257-0072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
04/11/2013
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