Organization
KALEIDOSCOPE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L JORDAN LCSW (OWNER)
(678) 251-9736
Entity
Organization
Contact information
Practice address
8735 DUNWOODY PL STE 5640, ATLANTA, GA 30350-2995
(678) 251-8736
Mailing address
8735 DUNWOODY PL STE 5640, ATLANTA, GA 30350-2995
(678) 251-8736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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