Individual
JORDAN FOBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 MANHATTAN BLVD STE 304, HARVEY, LA 70058-5341
(504) 333-6657
(504) 373-6193
Mailing address
1601 CROSSMOOR DR, MARRERO, LA 70072-4057
(504) 478-4142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17486
LA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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