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1043555931
MIKKI JORDAN
WEST LINN, OR
NPI
1043555931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-12-03
Last Update Date
2020-10-09
Business Address
MIKKI JORDAN LCSW
18605 MIDHILL CIR
WEST LINN, OR 97068-1326
Phone number: 646-338-2129
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Mailing Address
MIKKI JORDAN LCSW
18605 MIDHILL CIR
WEST LINN, OR 97068-1326
Phone number: 646-338-2129
Copy
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