Individual
JORDAN MARTIN HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4039 GATEWAY BLVD, GROVETOWN, GA 30813-3389
(706) 498-9570
Mailing address
627 STEVENS XING, MARTINEZ, GA 30907-9566
(334) 723-6368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008172
GA
104100000X
Social Worker
SW12393
SC
1041S0200X
School Social Worker
1804701
GA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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