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1851042691
RENELL RENEE JORDON
MERRILLVILLE, IN
NPI
1851042691
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Other Name
RENELL RENEE JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
RENELL RENEE JORDON CADC, MATS
8500 BROADWAY STE H
MERRILLVILLE, IN 46410-7006
Phone number: 219-769-7710
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Mailing Address
RENELL RENEE JORDON CADC, MATS
8500 BROADWAY STE H
MERRILLVILLE, IN 46410-7006
Phone number: 219-769-7710
Copy
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