Individual
CHARLO JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8008 S RIDGELAND AVE # 2B, CHICAGO, IL 60617-1008
(773) 510-2812
Mailing address
8008 S RIDGELAND AVE # 2B, CHICAGO, IL 60617-1008
(773) 510-2812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149014413
IL
Other
Enumeration date
02/19/2014
Last updated
04/29/2016
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