Individual
PATRICIA L. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1098
(317) 554-2703
(317) 554-2721
Mailing address
6407 MICHIGAN RD, INDIANAPOLIS, IN 46268-2731
(317) 554-2703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003418A
IN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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