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Individual
MRS. KATOYA JORDAN
Active
Individual
MRS. KATOYA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26600
NC
1041C0700X
Clinical Social Worker
Primary
P014924
NC
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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