Individual
KATHRYN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
1 ASH ST STE 1, HOPKINTON, MA 01748-1886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11864
MA
103TC0700X
Clinical Psychologist
567
ND
Other
Enumeration date
01/28/2019
Last updated
08/17/2022
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