ELLEN JORDAN

DAYTON, OH
NPI1750888426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-10
Last Update Date2018-04-10
Business Address
ELLEN JORDAN
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0961
Mailing Address
ELLEN JORDAN
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0961
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