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1700349115
JACQUELINE LOVON JORDAN
CONCORD, NC
NPI
1700349115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC CSAC-21242)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
JACQUELINE LOVON JORDAN
172 SPRING ST SW
CONCORD, NC 28025-5035
Phone number: 704-786-8722
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Mailing Address
JACQUELINE LOVON JORDAN
172 SPRING ST SW
CONCORD, NC 28025-5035
Phone number: 704-786-8722
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