Individual
JORDANA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Mailing address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006633
VA
Other
Enumeration date
09/25/2007
Last updated
08/31/2011
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