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1518480219
MIRANDA L JORDAN
MOULTON, AL
NPI
1518480219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-25
Last Update Date
2018-03-17
Business Address
MIRANDA L JORDAN MS
295 HOSPITAL ST
MOULTON, AL 35650-1210
Phone number: 256-974-6697
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Mailing Address
MIRANDA L JORDAN MS
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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