Individual
JORDAN BARNHILL HOLLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1800 RAVINIA PL, ORLAND PARK, IL 60462-3761
(708) 403-7570
Mailing address
1800 RAVINIA PL, ORLAND PARK, IL 60462-3761
(708) 403-7570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.104029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.104029
PROFESSIONAL LICENSE
IL
Enumeration date
10/21/2019
Last updated
10/21/2019
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