Individual
DR. DANIELLE ALENE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2840
(218) 683-4351
(218) 683-4362
Mailing address
320 MERRIAM AVE N, THIEF RIVER FALLS, MN 56701-2334
(651) 735-4841
(651) 735-8470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4394
MN
Other
Enumeration date
01/26/2007
Last updated
05/06/2010
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