Individual
CLAUDETTE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
Mailing address
1504 METROPOLITAN AVE APT 6G, BRONX, NY 10462-6870
(646) 643-4438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
080818
NY
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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