Natalie Jeanette Gordon
Peer Specialist in Glencoe, OK. Individual provider (NPI-1).
NPI number1164025037
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1164025037
- Entity type
- Individual (NPI-1)
- Name
- Natalie Jeanette Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
5308 N Fairgrounds RdGlencoe, OK 74032-1156
Phone 405-269-8476
Mailing address
5308 N Fairgrounds RdGlencoe, OK 74032-1156
Phone 405-269-8476
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