Individual
MENYUAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
107 ENTERPRISE PATH STE 300, HIRAM, GA 30141-2690
(678) 588-7982
Mailing address
107 ENTERPRISE PATH STE 300, HIRAM, GA 30141-2690
(678) 588-7982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007869
GA
Other
Enumeration date
12/29/2021
Last updated
11/04/2024
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