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Individual

JORDAN S LANGDON

Active
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Individual

JORDAN S LANGDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1563
CO
1041C0700X
Clinical Social Worker
36763
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022905
KAISER COMMERCIAL NUMBER
CO
05
85431524
CO
Enumeration date
06/12/2008
Last updated
10/04/2012
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