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Individual
KIMBERLY JORDAN
Active
Individual
KIMBERLY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16374
MD
Other
Enumeration date
12/11/2015
Last updated
11/11/2016
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