STEPHENQ MICHEAL JORDAN

SOUTH YARMOUTH, MA
NPI1639618010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-02-17
Last Update Date2017-02-17
Business Address
-- STEPHENQ MICHEAL JORDAN M.S.
31 WORKSHOP RD
SOUTH YARMOUTH, MA 02664-1210
Phone number: 855-830-4329
Mailing Address
-- STEPHENQ MICHEAL JORDAN M.S.
60 PINE HILL BLVD
MASHPEE, MA 02649-2850
Phone number: 855-830-4329
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