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1790974319
WILLIAM ANTHONY JORDAN
VALDOSTA, GA
NPI
1790974319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 268)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
Mr. WILLIAM ANTHONY JORDAN Certified Counselor
2841 N PATTERSON ST
VALDOSTA, GA 31602-1743
Phone number: 229-316-0132
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Mailing Address
Mr. WILLIAM ANTHONY JORDAN Certified Counselor
2841 N PATTERSON ST
VALDOSTA, GA 31602-1743
Phone number: 229-316-0132
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