Individual
ANNEMARIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
87 OLD FARMS RD, AVON, CT 06001-4234
(860) 673-0636
Mailing address
87 OLD FARMS RD, AVON, CT 06001-4234
(860) 673-0636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001281
CT
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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