Individual
NILAINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. C.P.S.S.
Contact information
Practice address
1040 S WINTER ST, SUITE #1022, ADRIAN, MI 49221-3867
(517) 263-8905
Mailing address
1040 S WINTER ST, SUITE #1022, ADRIAN, MI 49221-3867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
MI
Enumeration date
01/02/2013
Last updated
01/02/2013
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