Individual
MRS. KERA D JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1 PARK WEST CIR, 108, MIDLOTHIAN, VA 23114-5551
(804) 379-9265
Mailing address
15344 ELIZABETH BURBAGE LOOP, WOODBRIDGE, VA 22191-4146
(423) 618-8080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006888
VA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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