Individual
MS. JENNIFER ANNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, PSRS, CM II
Contact information
Practice address
301 N HIGH ST, ANTLERS, OK 74523-2238
(580) 372-3645
(580) 298-6699
Mailing address
PO BOX 69, GRANT, OK 74738
(580) 372-3645
(580) 298-6699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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