Individual
MS. DE'MONE' CAMIL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS-A
Contact information
Practice address
1381 MEDICAL CENTER DR, ROANOKE RAPIDS, NC 27870-5130
(252) 519-2955
(252) 519-0655
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5440
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014449
NC
Other
Enumeration date
03/30/2020
Last updated
11/29/2021
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