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Individual

DIANNA JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C, LCSW, MSW

Contact information

Practice address
14280 BALTIMORE AVE, LAUREL, MD 20707-5006
(301) 610-0745
Mailing address
8101 SANDY SPRING RD, LAUREL, MD 20707-3596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27706
MD
1041C0700X
Clinical Social Worker
CW025237
PA

Other

Enumeration date
03/05/2024
Last updated
01/20/2025
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