JORDAN BLAINE

LOUISVILLE, KY
NPI1699585158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  259813)
Enumeration Date2025-01-08
Last Update Date2025-02-05
Business Address
JORDAN BLAINE LCSW
1100 E MARKET ST
LOUISVILLE, KY 40206-1838
Phone number: 502-596-1097
Mailing Address
JORDAN BLAINE LCSW
1100 E MARKET ST
LOUISVILLE, KY 40206-1838
Phone number: 502-596-1097
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