Individual
MRS. MALLORY MARGRET GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
19900 E. 10 MILE RD., STE. 102, SAINT CLAIR SHORES, MI 48080
(586) 776-3366
(586) 776-3369
Mailing address
19900 E. 10 MILE RD., STE. 102, SAINT CLAIR SHORES, MI 48080
(586) 776-3366
(586) 776-3369
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L417827
MI
Other
Enumeration date
08/19/2014
Last updated
07/31/2019
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