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Individual
MR. JORDAN MATTHEW NODELMAN
Active
Individual
MR. JORDAN MATTHEW NODELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LICSW, BCD
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0136286TELE
VT
1041C0700X
Clinical Social Worker
0904012773
VA
1041C0700X
Clinical Social Worker
34672
MD
1041C0700X
Clinical Social Worker
LC200001605
DC
1041C0700X
Clinical Social Worker
Primary
SW18058
FL
Other
Enumeration date
02/11/2019
Last updated
06/07/2026
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