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1972076784
JORDAN CLAUDE ETIENNE
NEW BEDFORD, MA
NPI
1972076784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
JORDAN CLAUDE ETIENNE
139 MOUNT PLEASANT ST
NEW BEDFORD, MA 02740-5612
Phone number: 508-287-2964
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Mailing Address
JORDAN CLAUDE ETIENNE
139 MOUNT PLEASANT ST
NEW BEDFORD, MA 02740-5612
Phone number:
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