Individual
RYAN BAILEY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 E MONUMENT AVE, KISSIMMEE, FL 34741-5762
(407) 483-8953
Mailing address
517 DELTONA BLVD STE A, DELTONA, FL 32725-8016
(386) 259-5413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-16920
AZ
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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