Individual
MRS. LAKEETA W JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1166 MONROE AVE, MEMPHIS, TN 38104-6614
(901) 722-2012
Mailing address
4568 TULIP CREEK DR, BARTLETT, TN 38135-0730
(901) 268-6647
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6106
TN
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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