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1194918912
TINA R JORDAN
JONESBORO, AR
NPI
1194918912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A0705040)
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
-- TINA R JORDAN LAC
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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Mailing Address
-- TINA R JORDAN LAC
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Copy
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