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Individual

BRANDY JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17002 PACIFIC AVE S, SPANAWAY, WA 98387-8253
(253) 538-2323
Mailing address
PO BOX 685, SPANAWAY, WA 98387-0685

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61213107
WA

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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