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Individual

JORDAN GUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1620 W SPARKS ST, PHILADELPHIA, PA 19141-1918
(267) 808-2649
Mailing address
31-7 REVERE RD, DREXEL HILL, PA 19026-5313

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001497
PA

Other

Enumeration date
03/16/2023
Last updated
02/04/2025
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