NPI 1124685367
Kathleen Gordon
Practice location
- Address
- 122 Gordon Commercial Dr STE C, Lagrange, GA 30240-5754
- Phone
- (706) 298-7847
Registered specialties
Social Worker
Primary
Registry record
- NPI
- 1124685367
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 May 2019
- Record last updated
- 23 May 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.