LARRY JORDAN

WINSTON SALEM, NC
NPI1376256677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: NC  27079472)
Enumeration Date2023-01-02
Last Update Date2023-01-02
Business Address
LARRY JORDAN
905 FRIEDBERG CHURCH RD
WINSTON SALEM, NC 27127-9803
Phone number: 336-251-1180
Mailing Address
LARRY JORDAN
2755 WESTRIDGE RD
WINSTON SALEM, NC 27103-4222
Phone number: