Individual
JENNIFER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 600-1677
Mailing address
11500 CRONRIDGE DR, SUITE 130, OWINGS MILLS, MD 21117-2261
(410) 517-1113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06912
MD
Other
Enumeration date
02/06/2015
Last updated
12/18/2018
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