Individual
MRS. CHRISTINA NICOLE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1349 E STROOP RD, DAYTON, OH 45429-4925
(937) 293-8300
Mailing address
109 BLAZING CT, RIVERSIDE, OH 45431-3521
(954) 261-9380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701057
OH
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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