Individual
JASON JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
523 N MAIN ST, HILLSVILLE, VA 24343-1438
(276) 238-8885
Mailing address
523 N MAIN ST, HILLSVILLE, VA 24343-1438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005609
VA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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