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Individual
JORDAN K SWAN
Active
Individual
JORDAN K SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801100948
MI
1041C0700X
Clinical Social Worker
Primary
6801104963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982672762
ALL OTHERS
MI
Enumeration date
07/17/2017
Last updated
07/29/2022
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