Mickala Gordon
Mickala Gordon is a Community Health Worker in Morgantown, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
382 Broadway AveMorgantown, WV 26505-0364
Phone: (304) 599-7743
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1396627691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2025 |
| Last updated in NPPES | July 25, 2025 |
| Certification date | July 25, 2025 |
| Mailing address | 382 Broadway Ave, Morgantown, WV 26505-0364 |
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