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Individual

JORDAN SOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9011
Mailing address
413 BODLE RD, WYOMING, PA 18644-6014
(570) 417-1044

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC
PA

Other

Enumeration date
03/28/2023
Last updated
03/28/2023
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