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1770301723
DIANE M JORDAN
KINGSTON, NY
NPI
1770301723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 082878)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
DIANE M JORDAN
70 KUKUK LN
KINGSTON, NY 12401-6943
Phone number: 845-336-2616
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Mailing Address
DIANE M JORDAN
70 KUKUK LN
KINGSTON, NY 12401-6943
Phone number: 845-336-2616
Copy
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