SearchMichigan1041C0700X

Tarnisha Gordon, LCSW

NPI 1568761989 · on the registry since 2011 · sole proprietor

Practice

Address
49504 Labaere Dr
Macomb, MI 48044
Phone
(850) 339-4964

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
GA, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan