Individual
MRS. JORDAN LYNDSEY CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
321B GREENVILLE STREET, LAGRANGE, GA 30241-3231
(706) 887-5787
(706) 780-5402
Mailing address
321B GREENVILLE STREET, LAGRANGE, GA 30241-3231
(706) 887-5787
(706) 780-5402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003202428I
—
GA
Enumeration date
02/24/2015
Last updated
09/18/2023
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