Individual
SHARON MAE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0411
(207) 907-2048
Mailing address
157 PARK ST STE 5, BANGOR, ME 04401-5000
(207) 992-0411
(207) 907-2048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4431
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215102850
—
ME
Enumeration date
10/25/2006
Last updated
03/04/2019
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