Individual
TARA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 UNION AVE, SUITE 400, MEMPHIS, TN 38112-4318
(662) 902-0391
Mailing address
8577 S TRINITY PARK DR, OLIVE BRANCH, MS 38654-6415
(662) 902-0391
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
000543136
TN
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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