JORDAN R KLEBANOW

LEEDS, MA
NPI1932794344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  LICSW125038)
Enumeration Date2021-03-08
Last Update Date2025-01-29
Business Address
JORDAN R KLEBANOW LICSW
421 N MAIN ST
LEEDS, MA 01053-9700
Phone number: 413-541-9084
Mailing Address
JORDAN R KLEBANOW LICSW
421 N MAIN ST
LEEDS, MA 01053-9700
Phone number: 917-655-8703