Gordon, Mary Gayle

Gordon, Mary Gayle is an individual health care provider with primary practice located at 2904 Arkansas Blvd , Texarkana AR 71854-2536. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gordon, Mary Gayle can be contacted via phone (870) 773-4655.

Contact Information

Primary practice address
2904 Arkansas Blvd Texarkana AR 71854-2536
Phone: (870) 773-4655
Fax: (870) 772-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88-15E Arkansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 1030B Arkansas

Profile Details

NPI number 1407815442
LBN Legal business name Gordon, Mary Gayle
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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