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Individual

MR. JORDEN WYRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 SCENIC DR BLDG F, MODESTO, CA 95350-6131
(209) 569-0376
(209) 529-8519
Mailing address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
CA
372600000X
Adult Companion
Primary

Other

Enumeration date
08/31/2017
Last updated
05/16/2025
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