Individual
LAURA ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACC
Contact information
Practice address
526 MARKEL RD, CONSHOHOCKEN, PA 19428-1121
(484) 951-4868
Mailing address
526 MARKEL RD, CONSHOHOCKEN, PA 19428-1121
(484) 951-4868
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
03/06/2020
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