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1306696224
JORDAN JOHANSEN
SCOTTSDALE, AZ
NPI
1306696224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LMSW-17749)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
JORDAN JOHANSEN LMSW
8079 N 85TH WAY
SCOTTSDALE, AZ 85258-4321
Phone number: 480-261-5015
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Mailing Address
JORDAN JOHANSEN LMSW
509 S SUNRISE DR
GILBERT, AZ 85233-6732
Phone number: 480-490-8505
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