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1871136267
MICHAEL DESHUAN GORDON
CLINTON, MS
NPI
1871136267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 2272)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
Dr. MICHAEL DESHUAN GORDON LPC
112 SPANISH MOSS DR
CLINTON, MS 39056-5838
Phone number: 601-376-6222
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Mailing Address
Dr. MICHAEL DESHUAN GORDON LPC
112 SPANISH MOSS DR
CLINTON, MS 39056-5838
Phone number: 601-376-6222
Copy
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