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1033996442
JORDAN MARY KILLIAN
WILMINGTON, NC
NPI
1033996442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19153)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
JORDAN MARY KILLIAN LCMHCA
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-6336
Phone number: 910-248-4530
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Mailing Address
JORDAN MARY KILLIAN LCMHCA
216 S 12TH ST
WILMINGTON, NC 28401-4814
Phone number:
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