Individual
JOHANNA EVERETT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
700 TOLL HOUSE AVE, FREDERICK, MD 21701-4575
(301) 815-8878
(301) 668-2352
Mailing address
1406 MARIAN WAY, MOUNT AIRY, MD 21771-5872
(301) 502-0961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02575
MD
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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