JORDAN TIVERS

EVANSTON, IL
NPI1326485624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149.017842)
Enumeration Date2013-05-28
Last Update Date2018-06-12
Business Address
JORDAN TIVERS L.C.S.W.
636 CHURCH ST STE 321
EVANSTON, IL 60201
Phone number: 847-791-6026
Mailing Address
JORDAN TIVERS L.C.S.W.
636 CHURCH ST STE 321
EVANSTON, IL 60201-4579
Phone number: 847-791-6026
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