Individual
AUDREY CLARK GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
14340 HIGHWAY 37, GREENSBURG, LA 70441-5213
(337) 781-5914
Mailing address
PO BOX 651, GREENSBURG, LA 70441-0651
(337) 781-5914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1147
LA
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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