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Individual

STEPHENQ MICHEAL JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
31 WORKSHOP RD, SOUTH YARMOUTH, MA 02664-1210
(855) 830-4329
Mailing address
60 PINE HILL BLVD, MASHPEE, MA 02649-2850
(855) 830-4329

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
02/17/2017
Last updated
02/17/2017
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