Individual
ROBYN MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 W MORRIS AVE, HAMMOND, LA 70403-4150
(985) 402-3698
Mailing address
12345 PENDARVIS LN, WALKER, LA 70785-8203
(225) 274-6677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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