Individual
JORDAN MARCINCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 WABASH WOODS WAY, O FALLON, MO 63366-2661
(262) 389-0222
Mailing address
304 WABASH WOODS WAY, O FALLON, MO 63366-2661
(262) 389-0222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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