JORDAN LANDE

PONDERAY, ID
NPI1346987625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  BBH-LCSW-LIC-48937)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
-- JORDAN LANDE LCSW
27 LAVENDER LN
PONDERAY, ID 83852-5107
Phone number: 406-465-2465
Mailing Address
-- JORDAN LANDE LCSW
27 LAVENDER LN
PONDERAY, ID 83852-5107
Phone number:
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