JOANNA KYRIE GORDON

CENTENNIAL PARK COUNSELING PLC

Dr JOANNA KYRIE GORDON is a female medical professional, specializing in Clinical Social Worker. She graduated in 2006.

Contact

CENTENNIAL PARK COUNSELING PLC

2828 KRAFT AVE SE
SUITE 186
GRAND RAPIDS
MI
495122076

Tel: 6169499550

JOANNA KYRIE GORDON Information

Npi 1881962413
Pac Id 5395005508
Professional Enrollment Id I20180208001595
Last Name GORDON
First Name JOANNA
Middle Name KYRIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTENNIAL PARK COUNSELING PLC
Group Practice Pac Id 6002966207
Number Of Group Practice Members 4
Line 1 Street Address 2828 KRAFT AVE SE
Line 2 Street Address SUITE 186
Marker Of Address Line 2 Suppression
City GRAND RAPIDS
State MI
Zip Code 495122076
Phone Number 6169499550
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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