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Individual
TIFFANY JA'NAE JORDAN
Active
Individual
TIFFANY JA'NAE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
112068
TX
1041C0700X
Clinical Social Worker
22603
MD
1041C0700X
Clinical Social Worker
LC200003685
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992136246
—
TX
Enumeration date
12/11/2013
Last updated
11/19/2024
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