Kelly Gordon

NPI #1003217514 in Buffalo, New York

Provider Information

NPI Number: 1003217514
Entity Type: Individual
Name: Kelly Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 16, 2014
Last Updated: Sep 16, 2014

Practice Location

Address: 1280 MAIN ST
City: Buffalo
State: New York
ZIP Code: 14209-1912
Phone: (716) 882-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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