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1124591573
KENISHA WHEELER GORDON
JACKSON, MS
NPI
1124591573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 1327)
Enumeration Date
2019-01-09
Last Update Date
2019-07-15
Business Address
Dr. KENISHA WHEELER GORDON LPC
787 E NORTHSIDE DR
JACKSON, MS 39206-4945
Phone number: 985-517-9300
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Mailing Address
Dr. KENISHA WHEELER GORDON LPC
PO BOX 587
CLINTON, MS 39060-0587
Phone number:
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