Individual
MS. DEANNE MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST, BRAINTREE, MA 02184-4729
(781) 364-5699
Mailing address
400 WASHINGTON ST, BRAINTREE, MA 02184-4729
(781) 364-5699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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