Individual
CHAWNETTE WASHINGTON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
1219 PINE ST, AUGUSTA, GA 30901-3334
(706) 504-8434
Mailing address
1219 PINE ST, AUGUSTA, GA 30901-3334
(706) 504-8434
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
GA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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