Individual
JARRETT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1050 E UNION ST, ROCKTON, IL 61072-1628
(815) 624-4006
Mailing address
1050 E UNION ST, ROCKTON, IL 61072-1628
(815) 624-4006
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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