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1336605450
JORDAN BRAND
BALTIMORE, MD
NPI
1336605450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP8847)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
JORDAN BRAND LGPC
711 W 40TH ST
BALTIMORE, MD 21211-2120
Phone number: 667-309-3063
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Mailing Address
JORDAN BRAND LGPC
337 HOMELAND SOUTHWAY
BALTIMORE, MD 21212-4168
Phone number:
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