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Individual

MRS. AKESHA MARIE JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
34 JEROME AVE, BLOOMFIELD, CT 06002-2463
(860) 375-5749
Mailing address
135 MIDDLE TPKE E, MANCHESTER, CT 06040-4245
(860) 985-2621

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CT

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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