Gordon, Suzette Lorraine
Gordon, Suzette Lorraine is an individual health care provider with primary practice located at 1607 W. Aztec Blvd. Aztec Municipal Schools, Aztec NM 87410. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gordon, Suzette Lorraine can be contacted via phone (505) 334-1730.Contact Information
Primary practice address
1607 W. Aztec Blvd. Aztec Municipal Schools
Aztec NM 87410
Phone: (505) 334-1730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 220939 | New Mexico |
Profile Details
| NPI number | 1831346469 |
|---|---|
| LBN Legal business name | Gordon, Suzette Lorraine |
| Credentials | NM LSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2008 |
| Last updated | Aug 26th, 2008 - 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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