Individual
MRS. JORDON DENISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, CST
Contact information
Practice address
1212 HANCOCK ST STE 205, QUINCY, MA 02169-4371
(617) 750-0183
Mailing address
1212 HANCOCK ST STE 205, QUINCY, MA 02169-4371
(405) 435-2449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
03/08/2024
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