Individual
JORDAN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13851 W 63RD ST # 181, SHAWNEE, KS 66216-3800
(480) 420-9397
(602) 926-7377
Mailing address
13851 W 63RD ST # 181, SHAWNEE, KS 66216-3800
(480) 420-9397
(602) 926-7377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06440
KS
1041C0700X
Clinical Social Worker
2024038897
MO
1041C0700X
Clinical Social Worker
LCSW-19263
AZ
Other
Enumeration date
08/05/2020
Last updated
04/28/2025
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