Individual
JULIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 26TH AVE NW, ROCHESTER, MN 55901-8027
(507) 529-0978
Mailing address
2050 26TH AVE NW, ROCHESTER, MN 55901-8027
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1097
MN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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