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Individual
SARAH JORDAN
Active
Individual
SARAH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9381
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418270099
—
ME
Enumeration date
09/28/2006
Last updated
07/28/2009
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