Individual
MS. STEPHANIE JEAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., MSTOM
Contact information
Practice address
410 WABASH ST, MICHIGAN CITY, IN 46360-3334
(219) 262-2670
Mailing address
410 WABASH ST, MICHIGAN CITY, IN 46360-3334
(219) 262-2670
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
84000170A
IN
374J00000X
Doula
—
IL
Other
Enumeration date
08/09/2013
Last updated
07/21/2022
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