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1598092611
LISA JORDAN
JACKSONVILLE, FL
NPI
1598092611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW3056)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
-- LISA JORDAN LCSW
10199 SOUTHSIDE BLVD
JACKSONVILLE, FL 32256-0758
Phone number: 800-700-8646
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Mailing Address
-- LISA JORDAN LCSW
485 CANDLEBARK DR
JACKSONVILLE, FL 32225-5357
Phone number:
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