Individual
JORDAN ROBERTS ORLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
832 BROOK TRL, LEBANON, TN 37087-1645
(910) 520-6758
Mailing address
832 BROOK TRL, LEBANON, TN 37087-1645
(910) 520-6758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09925327
CO
1041C0700X
Clinical Social Worker
Primary
LSW0000006908
TN
171M00000X
Case Manager/Care Coordinator
4235862
CO
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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