Individual
MS. SANDRA HANIFA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2193 ASSOCIATION DR STE 100, OKEMOS, MI 48864-4904
(517) 349-6265
(517) 349-3755
Mailing address
2193 ASSOCIATION DR STE 100, OKEMOS, MI 48864-4904
(517) 349-6265
(517) 349-3755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
63010118942
MI
Other
Enumeration date
08/15/2006
Last updated
10/02/2019
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