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1124286125
MAUDEEN GRACE JORDAN
FOREST GROVE, OR
NPI
1124286125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR LCSW 3139)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- MAUDEEN GRACE JORDAN LCSW
2004 MAIN ST SUITE 203
FOREST GROVE, OR 97116-2349
Phone number: 503-998-6803
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Mailing Address
-- MAUDEEN GRACE JORDAN LCSW
9335 SW BIRDIE DR
CORNELIUS, OR 97113-9621
Phone number: 503-998-6803
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