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Individual

MR. JORDAN MCPHAULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
420 CHINQUAPIN ROUND RD, ANNAPOLIS, MD 21401-4006
(410) 990-1811
Mailing address
1391 RIDGE COMMONS BLVD, HANOVER, MD 21076-1140

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27604
MD

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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