Individual
MADELINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 7TH AVE NE, ARDMORE, OK 73401-7443
(214) 584-8987
Mailing address
1414 7TH AVE NE, ARDMORE, OK 73401-7443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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