Individual
RAQUEL W GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1053 BUCHANAN ST NE, WASHINGTON, DC 20017-2712
(202) 854-4889
Mailing address
16612 PEACH ST, BOWIE, MD 20716-3526
(301) 356-6698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
03284
MD
103T00000X
Psychologist
Primary
PSY1877
DC
Other
Enumeration date
11/09/2017
Last updated
05/28/2019
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