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Individual

MRS. JACQUELINE MARIE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

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) 339-4436

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/14/2010
Last updated
06/23/2026
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