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1003690223
JORDAN ROOT
DALLAS, TX
NPI
1003690223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 68895)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
JORDAN ROOT LPC
11440 MCCREE RD APT 1231
DALLAS, TX 75238-3239
Phone number: 214-713-9575
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Mailing Address
JORDAN ROOT LPC
11440 MCCREE RD APT 1231
DALLAS, TX 75238-3239
Phone number: 214-713-9575
Copy
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