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1164857991
AUDRIE LEIGH GORDON
INGLEWOOD, CA
NPI
1164857991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-11
Last Update Date
2016-10-27
Business Address
-- AUDRIE LEIGH GORDON
614 W MANCHESTER BLVD 104
INGLEWOOD, CA 90301-1656
Phone number: 310-412-0879
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Mailing Address
-- AUDRIE LEIGH GORDON
614 W MANCHESTER BLVD 104
INGLEWOOD, CA 90301-1656
Phone number: 562-320-9139
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