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Individual

DAVID JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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Product
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  • EDI platform