DENZIL JORDAN

BRONX, NY
NPI1790253789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-07
Last Update Date2018-11-07
Business Address
DENZIL JORDAN
1064 FRANKLIN AVE
BRONX, NY 10456-6704
Phone number: 718-764-1590
Mailing Address
DENZIL JORDAN
1776 CLAY AVE
BRONX, NY 10457-7239
Phone number:
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