Individual
JORDAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC-US
Contact information
Practice address
2113 W BRITTON RD, THE VILLAGE, OK 73120-1505
(405) 840-9000
Mailing address
2113 W BRITTON RD, THE VILLAGE, OK 73120-1505
(405) 840-9000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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