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1528675006
DAVID JORDAN
UTICA, NY
NPI
1528675006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 107004-01)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
DAVID JORDAN
1612 GENESEE ST
UTICA, NY 13502-5425
Phone number: 315-724-5173
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Mailing Address
DAVID JORDAN
1612 GENESEE ST
UTICA, NY 13502-5425
Phone number:
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