Individual
MRS. JORDAN L CARLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP-S, MPH
Contact information
Practice address
140 STONERIDGE DR, SUITE 350, COLUMBIA, SC 29210-8200
(803) 779-5500
Mailing address
140 STONERIDGE DR, SUITE 350, COLUMBIA, SC 29210-8200
(803) 779-5500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10508
SC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/14/2014
Last updated
04/13/2021
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