Individual
CHRISTINA MARISSA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
2613 BROWN ST, PHILADELPHIA, PA 19130-1801
(610) 724-7458
Mailing address
2613 BROWN ST, PHILADELPHIA, PA 19130-1801
(610) 724-7458
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132588
PA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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