Individual
MRS. BRANDICE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 CONCERTO CT, APEX, NC 27539-3615
(919) 363-7585
(919) 303-3939
Mailing address
1747 PROGRESS LN, CHARLOTTE, NC 28205-5709
(704) 891-0610
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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