Individual
JENNIFER JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
81 DRAGON FLY DR, BETHEL, ME 04217-3064
(207) 381-7101
Mailing address
81 DRAGON FLY DR, BETHEL, ME 04217-3064
(207) 381-7101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC17274
ME
Other
Enumeration date
03/12/2019
Last updated
07/26/2024
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