Individual
MRS. JACQUELINE B JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
358 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6344
(757) 645-3339
(757) 645-4830
Mailing address
358 MCLAWS CIR, SUITE 1, WILLIAMSBURG, VA 23185-6344
(757) 645-3339
(757) 645-4830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000636
VA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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