Individual
NICOLE ELIZABETH JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
104 STAMPEDE ST, NEWCASTLE, WY 82701-3037
(307) 746-4560
Mailing address
104 STAMPEDE ST, NEWCASTLE, WY 82701-3037
(307) 746-4560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WY
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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