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1801010079
JOHANNA EVERETT GORDON
FREDERICK, MD
NPI
1801010079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 02575)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
-- JOHANNA EVERETT GORDON M.S. CCC-SLP
700 TOLL HOUSE AVE
FREDERICK, MD 21701-4575
Phone number: 301-815-8878
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Mailing Address
-- JOHANNA EVERETT GORDON M.S. CCC-SLP
1406 MARIAN WAY
MOUNT AIRY, MD 21771-5872
Phone number: 301-502-0961
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