Individual
JORDAN BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(580) 209-2699
Mailing address
417771 E 1910 RD, ANTLERS, OK 74523-7443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
02/24/2025
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