Individual
STACY M. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-A
Contact information
Practice address
108 CHERRY ST, BURLINGTON, VT 05401-4295
(802) 863-7326
Mailing address
108 CHERRY ST, BURLINGTON, VT 05401-4295
(802) 863-7326
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008071
—
VT
Enumeration date
12/18/2006
Last updated
11/06/2007
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