Individual
MARLO E JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 W WATER ST, FLINT, MI 48503-5627
(810) 232-2786
(810) 232-2782
Mailing address
70 LAFAYETTE ST, PONTIAC, MI 48342-2033
(248) 338-7458
(248) 338-7513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6803085469
MI
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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