Individual
LAKIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
700 LENOX AVE APT 14D, NEW YORK, NY 10039-4514
(212) 234-7366
Mailing address
700 LENOX AVE APT 14D, NEW YORK, NY 10039-4514
(212) 234-7366
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
091524-1
NY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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