Gordon, Shereese Tamica

Gordon, Shereese Tamica is an sole proprietor health care provider with primary practice located at 10506 Thrift Rd , Clinton MD 20735-3734. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gordon, Shereese Tamica can be contacted via phone (301) 292-2778.

Contact Information

Primary practice address
10506 Thrift Rd Clinton MD 20735-3734
Phone: (301) 292-2778
Fax: (301) 292-0275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1619176211
LBN Legal business name Gordon, Shereese Tamica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 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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