Individual
MS. KATHLEEN MARIAN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M, RD, LDN
Contact information
Practice address
135 LINCOLN ST, STOUGHTON, MA 02072-2522
(734) 255-9239
(781) 344-0762
Mailing address
135 LINCOLN ST, STOUGHTON, MA 02072-2522
(734) 255-9239
(781) 344-0762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003761
MA
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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