Individual
MIRANDA EASTHOUSE-GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR STE 238, AURORA, CO 80014-2622
(303) 617-2300
Mailing address
16225 E PHILLIPS DR, ENGLEWOOD, CO 80112-4603
(563) 794-2029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
07/26/2024
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