Individual
MRS. STEPHANIE SUE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5505 GROVER ST, OMAHA, NE 68106-3718
(402) 558-3132
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1257
ND
235Z00000X
Speech-Language Pathologist
9076
MN
Other
Enumeration date
08/05/2011
Last updated
06/22/2015
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