Johnathan Paul Gordon
Johnathan Paul Gordon is a Social Worker in Pryor, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.
- Licensed in
- OK
- In the registry since
- 2018
Practice location Address checks out
109 N Fairland StPryor, OK 74361-4203
Phone: (918) 825-1405
Fax: (918) 876-3436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 6386 (OK) |
|---|
Record details
| NPI number | 1760965388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 10, 2018 |
| Last updated in NPPES | November 13, 2020 |
| Certification date | November 13, 2020 |
| Mailing address | 109 N Fairland St, Pryor, OK 74361-4203 |
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Terry Lynn Cotner
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Mrs. Sarah Kay Hicks, BSW
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