JORDAN HARRISON LICKEY

BERRYVILLE, VA
NPI1326926114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
Mr. JORDAN HARRISON LICKEY MSW
180 GRAFTON LN
BERRYVILLE, VA 22611-2576
Phone number: 540-995-2400
Mailing Address
Mr. JORDAN HARRISON LICKEY MSW
803 IVES ST
MARTINSBURG, WV 25405-3640
Phone number: 540-454-6501
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