Individual
ALISA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1078 S WATER AVE, GALLATIN, TN 37066-3959
(615) 708-5190
Mailing address
1078 S WATER AVE, GALLATIN, TN 37066-3959
(615) 708-5190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9466
TN
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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