Individual
CHARLOTTE ROSE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 S BELL AVE STE 108, AMES, IA 50010-7730
(515) 337-0343
Mailing address
2311 ASPEN RD UNIT 105, AMES, IA 50010-4092
(515) 494-2434
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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