AISHA LISSETTE GORDON

BLOOMINGTON, IL
NPI1487118568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-23
Last Update Date2019-01-23
Business Address
AISHA LISSETTE GORDON
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
Mailing Address
AISHA LISSETTE GORDON
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351