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1770914749
DEBRA GORDON
BELLEVILLE, IL
NPI
1770914749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.003962)
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
-- DEBRA GORDON MS CCC SLP
2555 WEST BLVD
BELLEVILLE, IL 62221-5525
Phone number: 618-222-3700
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Mailing Address
-- DEBRA GORDON MS CCC SLP
2555 WEST BLVD
BELLEVILLE, IL 62221-5525
Phone number: 618-222-3700
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