KEITH JORDAN

LAGRANGEVILLE, NY
NPI1992248850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  040539)
Enumeration Date2016-11-28
Last Update Date2016-11-28
Business Address
-- KEITH JORDAN LCSW
1131 ROUTE 55
LAGRANGEVILLE, NY 12540-5054
Phone number: 845-345-8956
Mailing Address
-- KEITH JORDAN LCSW
1 SUMMIT AVE
POUGHKEEPSIE, NY 12601-1409
Phone number: 845-345-8956
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