Individual
STACEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11155 STRATFIELD CT, MARRIOTTSVILLE, MD 21104-1650
(443) 718-9197
Mailing address
11155 STRATFIELD CT, MARRIOTTSVILLE, MD 21104-1650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14889
MD
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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