Individual
DONALA KALE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
Mailing address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
17-12ARPL
AR
Other
Enumeration date
01/13/2012
Last updated
07/21/2022
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