NPI | 1376674481 |
---|---|
Other Name | BEVERLY JORDAN VANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TN ASW0000000363) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN CMSW0000004197) |
104100000X Social Worker (Licence: TN LSW0000004197) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2011-06-24 |