Individual
MRS. ELAINA ROSE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
944 FIELDS DR STE 102, BOWLING GREEN, KY 42104-5341
(502) 380-7297
Mailing address
632 NUTWOOD ST, BOWLING GREEN, KY 42103-1620
(502) 380-7297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
167247
KY
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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