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1962783852
JORDAN DAVID MATHISEN
CABOT, AR
NPI
1962783852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 7197-C)
Enumeration Date
2011-09-06
Last Update Date
2014-11-04
Business Address
-- JORDAN DAVID MATHISEN LCSW
203B WESTPORT DR
CABOT, AR 72023-3657
Phone number: 501-843-9233
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Mailing Address
-- JORDAN DAVID MATHISEN LCSW
203B WESTPORT DR
CABOT, AR 72023-3657
Phone number: 501-843-9233
Copy
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