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Individual
MRS. KAY SPENCE JORDAN
Active
Individual
MRS. KAY SPENCE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1404
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000641104
WORKERS' COMP
SC
05
—
322842
—
SC
Enumeration date
05/21/2008
Last updated
05/21/2008
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