Individual
MS. JORDAN CELIA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1955
(573) 756-5353
Mailing address
521 N JEFFERSON ST, FARMINGTON, MO 63640-1743
(573) 756-5353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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