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1073130407
TERRENCE A JORDAN
DECATUR, GA
NPI
1073130407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: VA 0810006893)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
DR. TERRENCE A JORDAN PH.D.
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
DR. TERRENCE A JORDAN PH.D.
4946 CREEKSIDE LN
POWDER SPRINGS, GA 30127-3295
Phone number:
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