Individual
KATELYNN FAITH JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
97 S MAIN ST, MANCHESTER, CT 06040-6526
(860) 470-6002
Mailing address
97 S MAIN ST, MANCHESTER, CT 06040-6526
(860) 470-6002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
013185
CT
Other
Enumeration date
07/14/2020
Last updated
08/28/2023
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