Individual
JESSICA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 BELLE TERRE BLVD, LA PLACE, LA 70068-1715
(985) 652-0078
Mailing address
PO BOX 755, GRAMERCY, LA 70052-0755
(225) 623-5541
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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