Individual
CHERYL G GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., MHP
Contact information
Practice address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(504) 237-8105
Mailing address
3968 NORTH BLVD STE B, BATON ROUGE, LA 70806-3826
(504) 237-8105
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
01/08/2019
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