Individual
MRS. ABIGAIL SMITH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKENAN DR, CARY, NC 27511-7903
(864) 978-0165
(864) 978-0165
Mailing address
6743 LONG NOOK LN, INDIAN TRAIL, NC 28079-3677
(864) 978-0165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
03/17/2018
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