REBECCA JANE JORDAN

CONWAY, SC
NPI1437498904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-02-04
Last Update Date2013-02-04
Business Address
Miss REBECCA JANE JORDAN
2404 WISE RD
CONWAY, SC 29526-5521
Phone number: 843-365-8884
Mailing Address
Miss REBECCA JANE JORDAN
PO BOX 123
CONWAY, SC 29528-0123
Phone number: 843-365-8884
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