Individual
ALICIA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
641 OLD ROUTE 17, MONTICELLO, NY 12701-7014
(845) 707-1400
Mailing address
PO BOX 840, HARRIS, NY 12742-0840
(845) 707-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
07/21/2022
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