Individual
JORDAN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW-PIP, LCSW
Contact information
Practice address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
(334) 953-8607
Mailing address
300 TWINING ST BLDG 760, MAXWELL AFB, AL 36112-6027
(334) 953-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17233
LA
1041C0700X
Clinical Social Worker
Primary
3607
SD
Other
Enumeration date
05/07/2019
Last updated
07/12/2023
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