Individual
JORDAN DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
826 MAPLE ST, COLUMBIA, SC 29205-1732
(301) 758-5202
Mailing address
826 MAPLE ST, COLUMBIA, SC 29205-1732
(301) 758-5202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10048
SC
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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