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1104247170
DESIREE JORDAN
BRONX, NY
NPI
1104247170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 072551-1)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- DESIREE JORDAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4400
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Mailing Address
-- DESIREE JORDAN
2527 GLEBE AVE
BRONX, NY 10461-3109
Phone number: 718-904-4400
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