Gordon, Laurie R.

Gordon, Laurie R. is an individual health care provider with primary practice located at 4463 Cricket Ridge Dr Apt 202 202, Holt MI 48842-2933. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Laurie R. can be contacted via phone (517) 281-5718.

Contact Information

Primary practice address
4463 Cricket Ridge Dr Apt 202 202 Holt MI 48842-2933
Phone: (517) 281-5718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801034871 Michigan

Profile Details

NPI number 1942387170
LBN Legal business name Gordon, Laurie R.
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942387170 NPPES
Michigan Other 8008975170 BLUE CROSS BLUE SHIELD

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