ANGELIA DENISE JORDAN

SAINT LOUIS, MO
NPI1679218564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-05-04
Last Update Date2022-05-04
Business Address
ANGELIA DENISE JORDAN
6763 PAGE AVE
SAINT LOUIS, MO 63133-1635
Phone number: 314-320-6728
Mailing Address
ANGELIA DENISE JORDAN
1430 OLIVE ST
SAINT LOUIS, MO 63103-2360
Phone number: 314-206-3700
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