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1023550209
JASON ALAN JORDAN
DETROIT, MI
NPI
1023550209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801081946)
Enumeration Date
2016-11-05
Last Update Date
2016-11-05
Business Address
-- JASON ALAN JORDAN LMSW
16197 OHIO ST
DETROIT, MI 48221-2953
Phone number: 313-632-0287
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Mailing Address
-- JASON ALAN JORDAN LMSW
16197 OHIO ST
DETROIT, MI 48221-2953
Phone number: 313-632-0287
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