Individual
AMANDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
72 BLUE RIDGE LN, BURNSVILLE, NC 28714-7270
(828) 682-2111
Mailing address
72 BLUE RIDGE LN, BURNSVILLE, NC 28714-7270
(828) 682-2111
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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