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1952003725
SHAVON JORDAN
HYATTSVILLE, MD
NPI
1952003725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-03-17
Last Update Date
2023-05-03
Business Address
SHAVON JORDAN
440 WARFIELD DR APT 1125
HYATTSVILLE, MD 20785-4609
Phone number: 301-643-3474
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Mailing Address
SHAVON JORDAN
440 WARFIELD DR APT 1125
HYATTSVILLE, MD 20785-4609
Phone number:
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