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Individual
MAUDEEN GRACE JORDAN
Active
Individual
MAUDEEN GRACE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC25291
ME
1041C0700X
Clinical Social Worker
Primary
LCSW 3139
OR
1041C0700X
Clinical Social Worker
Primary
LCSW3139
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 3139
LICENSE IN CLINICAL SOCIAL WORK
OR
Enumeration date
05/27/2008
Last updated
05/22/2026
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