Individual
LEIGH DIXIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
(785) 843-6711
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 843-9192
(785) 843-6711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4565
KS
1041C0700X
Clinical Social Worker
7450
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841281805
—
KS
Enumeration date
07/22/2009
Last updated
07/26/2016
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