Individual
ELIZABETH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CALT, CDT
Contact information
Practice address
196 OLD ORCHARD LN, WARRENTON, VA 20186-2502
(703) 855-8133
(703) 855-8133
Mailing address
196 OLD ORCHARD LN, WARRENTON, VA 20186-2502
(703) 855-8133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5436
VA
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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