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1902206006
JORDAN MCCOLLAM
SAN LEANDRO, CA
NPI
1902206006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 77756)
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
-- JORDAN MCCOLLAM
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- JORDAN MCCOLLAM
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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