Individual
MS. SANDRA S JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
106 PAILIN CREEK RD, ELIZABETH CITY, NC 27909-2924
(252) 339-6842
(252) 330-2001
Mailing address
PO BOX 2213, ELIZABETH CITY, NC 27906-2213
(252) 339-6842
(252) 330-2001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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