LACY JEAN JORDAN WHITE

FRONT ROYAL, VA
NPI1114408150
Former NameLACY JEAN JORDAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904010528)
Enumeration Date2018-08-28
Last Update Date2018-08-28
Business Address
LACY JEAN JORDAN WHITE LCSW
209 W CRISER RD
FRONT ROYAL, VA 22630-2360
Phone number: 540-636-2931
Mailing Address
LACY JEAN JORDAN WHITE LCSW
209 W CRISER RD
FRONT ROYAL, VA 22630-2360
Phone number: 540-636-2931
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