Individual
BARBARA JEAN ANN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-4108
Mailing address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-4108
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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