Individual
MRS. JOYCE TAYLOR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC, SAP
Contact information
Practice address
14650 DETROIT AVENUE, SUITE #LL30, LAKEWOOD, OH 44107
(216) 226-2721
(216) 226-2731
Mailing address
14650 DETROIT AVENUE, SUITE #LL40, LAKEWOOD, OH 44107
(216) 226-2721
(216) 226-2731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
954355
OH
1041C0700X
Clinical Social Worker
I-0009384
OH
1041C0700X
Clinical Social Worker
Primary
I0009384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2632431
—
OH
Enumeration date
06/23/2006
Last updated
12/13/2011
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