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1528401601
SHAD S. JORDAN
YPSILANTI, MI
NPI
1528401601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802083849)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
Mr. SHAD S. JORDAN LBSW
555 TOWNER ST
YPSILANTI, MI 48198-5752
Phone number: 734-544-6820
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Mailing Address
Mr. SHAD S. JORDAN LBSW
555 TOWNER ST
YPSILANTI, MI 48198-5752
Phone number: 734-544-6820
Copy
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