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1487989018
DIANE JORDAN
GLOVERSVILLE, NY
NPI
1487989018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 076967-1)
Enumeration Date
2009-10-15
Last Update Date
2018-03-17
Business Address
DIANE JORDAN LCSW
57 E FULTON ST
GLOVERSVILLE, NY 12078-3212
Phone number: 518-773-3531
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Mailing Address
DIANE JORDAN LCSW
57 E FULTON ST
GLOVERSVILLE, NY 12078-3212
Phone number:
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