Individual
AMANDA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 PARMENTER LN, NORTH ATTLEBORO, MA 02760-1309
(508) 316-4464
Mailing address
56 PARMENTER LN, NORTH ATTLEBORO, MA 02760-1309
(508) 316-4464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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