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1083326409
ELIZABETH JORDAN
JACKSON, MS
NPI
1083326409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
ELIZABETH JORDAN
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
ELIZABETH JORDAN
3225 COREY DR
JACKSON, MS 39212-4112
Phone number: 769-972-4733
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