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1396079497
LIDIA U. JORDAN
HEMPSTEAD, NY
NPI
1396079497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 21384)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
Ms. LIDIA U. JORDAN CASAC-T
344 FULTON AVE
HEMPSTEAD, NY 11550-3923
Phone number: 516-538-2613
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Mailing Address
Ms. LIDIA U. JORDAN CASAC-T
270 S BROOKSIDE AVE
FREEPORT, NY 11520-4140
Phone number: 516-538-2613
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