JACQUELINE ANN GORDON

DAYTON, OH
NPI1528551330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  161448)
Enumeration Date2018-06-07
Last Update Date2018-06-16
Business Address
JACQUELINE ANN GORDON
7301 POE AVE
DAYTON, OH 45414-2559
Phone number: 937-280-4631
Mailing Address
JACQUELINE ANN GORDON
7301 POE AVE
DAYTON, OH 45414-2559
Phone number: 937-280-4631
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