Individual
JORDAN KENDRICK MCLAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 BERKLEY AVE SW, ROANOKE, VA 24015-2017
(919) 815-5917
Mailing address
2215 BERKLEY AVE SW, ROANOKE, VA 24015-2017
(919) 815-5917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701014481
VA
Other
Enumeration date
02/17/2025
Last updated
02/25/2025
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