Individual
MRS. JACQUELINE MARIE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 361-8568
(812) 339-2932
Mailing address
1117 N JACKSON ST, BLOOMINGTON, IN 47404-3385
(812) 361-8568
(812) 339-2932
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
04/23/2015
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