Individual
MRS. KAVONDA SHERICA JORDAN-DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
315 WEST THIRD STREET, FARMVILLE, VA 23901
(434) 395-4973
(434) 395-2969
Mailing address
PO BOX 197, FARMVILLE, VA 23901
(434) 395-4973
(434) 395-2969
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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