Individual
CHARLOTTE F. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 WESTERN BOULEVARD, RALEIGH, NC 27606
(919) 219-8534
Mailing address
1409 CRETE DRIVE, RALEIGH, NC 27606
(919) 219-8534
(919) 219-8534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C001784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003118
—
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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