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Individual

CARVER JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
198 E 121ST ST, NEW YORK, NY 10035-3523
(607) 273-7494
Mailing address
198 E 121ST ST, NEW YORK, NY 10035-3523

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110510-01
NY

Other

Enumeration date
03/05/2021
Last updated
04/05/2023
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