Individual
AMANDA JORDAN
Active
Individual
AMANDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10639
SC
1041C0700X
Clinical Social Worker
34005653A
IN
1041C0700X
Clinical Social Worker
Primary
C008647
NC
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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