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Individual
LISA JORDAN
Active
Individual
LISA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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