Individual
JORDAN WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 W 1ST ST STE 8, BLOOMINGTON, IN 47403-2382
(812) 822-1395
Mailing address
800 N SMITH RD APT 2Y, BLOOMINGTON, IN 47408-2965
(317) 590-2473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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