STEPHANIE GORDON — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, LA)
STEPHANIE GORDON — Medicare Enrolled Provider (PRACTITIONER - CLINICAL SOCIAL WORKER, LA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: STEPHANIE GORDON; Type: Individual; NPI: 1003234840.
| Name | STEPHANIE GORDON |
|---|---|
| Type | Individual |
| NPI | 1003234840 |
| Provider type | PRACTITIONER - CLINICAL SOCIAL WORKER |
| State | LA |
| Enrollment ID | I20140718002200 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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