Individual
NICOLE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW
Contact information
Practice address
262 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(913) 735-0577
Mailing address
8340 MISSION RD STE 230, PRAIRIE VILLAGE, KS 66206-1319
(913) 735-0577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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