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Individual

MS. CASSANDRA H. JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
18167 US HIGHWAY 19 N STE 150, CLEARWATER, FL 33764-6566
(727) 321-3854
(727) 321-7670
Mailing address
701 94TH AVE N STE 250, SAINT PETERSBURG, FL 33702-2448
(727) 321-3854
(727) 327-7670

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C005373
NC
1041C0700X
Clinical Social Worker
Primary
SW12790
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113400700
FL
Enumeration date
06/11/2007
Last updated
12/18/2023
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