Individual
BRENDA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16318 JAMAICA AVE, JAMAICA, NY 11432-4901
(718) 206-3440
(718) 206-3638
Mailing address
13421 225TH ST, LAURELTON, NY 11413-2040
(718) 525-7538
(718) 206-3638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
070886-1
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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