Johnathan Paul Gordon

NPI #1760965388 in Pryor, Oklahoma

Provider Information

NPI Number: 1760965388
Entity Type: Individual
Name: Johnathan Paul Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 10, 2018
Last Updated: Nov 13, 2020

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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