Individual
TERRI GORDINIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38777 6 MILE ROAD, SUITE 209, SUPPLEMENTAL HEALTH CARE, LAVONIA, MI 48152
(734) 452-0395
Mailing address
38777 6 MILE ROAD, SUITE 209, SUPPLEMENTAL HEALTH CARE, LAVONIA, MI 48152
(734) 452-0395
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001375
MI
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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