Amanda Jane Gordon

NPI #1417666256 in Richmond, Michigan

Provider Information

NPI Number: 1417666256
Entity Type: Individual
Name: Amanda Jane Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 21, 2022
Last Updated: Nov 21, 2022

Practice Location

Address: 400 STODDARD RD
City: Richmond
State: Michigan
ZIP Code: 48062-2505
Phone: (810) 392-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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