Gordon, Indrea Janene
Gordon, Indrea Janene is an sole proprietor health care provider with primary practice located at 503 Sharpstone Bnd , Stockbridge GA 30281-9434. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gordon, Indrea Janene can be contacted via phone (337) 309-0945.Contact Information
Primary practice address
503 Sharpstone Bnd
Stockbridge GA 30281-9434
Phone: (337) 309-0945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1033960059 |
|---|---|
| LBN Legal business name | Gordon, Indrea Janene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2024 |
| Last updated | Mar 28th, 2024 - about 2 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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