KATISHA GORDON

MACON, MS
NPI1619109840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-08-21
Last Update Date2009-08-21
Business Address
-- KATISHA GORDON MS
200 MLK ST
MACON, MS 39341
Phone number: 662-726-5042
Mailing Address
-- KATISHA GORDON MS
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number: 662-323-9261