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1023778727
JORDAN LORRAINE PENN
WINSTON SALEM, NC
NPI
1023778727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
Ms. JORDAN LORRAINE PENN BCBA
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
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Mailing Address
Ms. JORDAN LORRAINE PENN BCBA
200 FOREST PARK CIR APT 228
WINSTON SALEM, NC 27127-5076
Phone number: 336-710-9831
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