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1649735812
DERRICK JORDAN
NEW YORK, NY
NPI
1649735812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 099760)
Enumeration Date
2019-02-01
Last Update Date
2025-12-02
Business Address
DERRICK JORDAN LCSW
266 W 121ST ST APT 2
NEW YORK, NY 10027-6293
Phone number: 929-753-9478
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Mailing Address
DERRICK JORDAN LCSW
266 W 121ST ST APT 2
NEW YORK, NY 10027-6293
Phone number: 929-753-9478
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