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1407480007
JORDAN DORA BERTY
INDIANAPOLIS, IN
NPI
1407480007
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Former Name
JORDAN ELIZABETH DORA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008763A)
Enumeration Date
2020-02-24
Last Update Date
2020-07-13
Business Address
Mrs. JORDAN DORA BERTY LCSW
6100 N KEYSTONE AVE STE 420
INDIANAPOLIS, IN 46220-2892
Phone number: 317-296-4914
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Mailing Address
Mrs. JORDAN DORA BERTY LCSW
5310 E 79TH ST
INDIANAPOLIS, IN 46250-1704
Phone number: 317-504-8475
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