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1013456748
LETTIE B JORDAN
WARNER ROBINS, GA
NPI
1013456748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- LETTIE B JORDAN
940 GA HIGHWAY 96
WARNER ROBINS, GA 31088-2584
Phone number: 478-988-1222
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Mailing Address
-- LETTIE B JORDAN
940 GA HIGHWAY 96
WARNER ROBINS, GA 31088-2584
Phone number: 478-988-1222
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