Individual
MRS. SHEREESE TAMICA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10506 THRIFT RD, CLINTON, MD 20735-3734
(301) 292-2778
(301) 292-0275
Mailing address
10506 THRIFT RD, CLINTON, MD 20735-3734
(301) 292-2778
(301) 292-0275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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