Individual
JORDAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1503 LIATRIS LN, NORTH POLE, AK 99705-5082
(503) 380-0717
Mailing address
1503 LIATRIS LN, NORTH POLE, AK 99705-5082
(503) 380-0717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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