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Individual
MR. WALTER PUTZEL JORDAN
Active
Individual
MR. WALTER PUTZEL JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60802689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042792
—
WA
Enumeration date
08/18/2017
Last updated
09/17/2019
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