Individual
MR. JORDAN CASSIDY PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2602 E WAVERLY ST, TUCSON, AZ 85716-3082
(520) 490-5677
Mailing address
2602 E WAVERLY ST, TUCSON, AZ 85716-3082
(520) 490-5677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-20603
AZ
Other
Enumeration date
07/11/2025
Last updated
07/27/2025
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