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Individual
MR. JORDAN JAY LITVAK
Active
Individual
MR. JORDAN JAY LITVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED CLINICAL SO
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003693
IL
1041C0700X
Clinical Social Worker
C-10292
NM
Other
Enumeration date
02/22/2017
Last updated
06/16/2018
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