Individual
JORDAN MONROE CROUSER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 WHISPERING PINES CIR, PARKERSBURG, WV 26104-3405
(304) 615-8092
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F979656
WV
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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