| NPI | 1467734400 |
|---|---|
| Doing Business As | KATHY Q. JORDAN, LCSW, LLC |
| Entity Type | Organization |
| Authorized Contact | KATHY QUARLES JORDAN Owner 479-443-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1573-C) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |