Terry Lee Jordan LMSW

NPI 1285066886 - Social Worker - 1041C0700X

NPI Details
NPI 1285066886
Gender Male
Enumeration Date 08/06/2013
Last Updated 08/06/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2924 KNIGHT ST
BUILDING #3 SUITE 350
SHREVEPORT LA, 71105-2415, US
Phone (318) 862-3053
Fax (318) 862-3080
Business Location
2924 KNIGHT ST
BUILDING #3 SUITE 350
SHREVEPORT LA, 71105-2415, US
Phone (318) 862-3053
Fax (318) 862-3080
Toxanomy
Taxonomy Code 1041C0700X
License State Louisiana
License Number 6606
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According to our database, Mr. Terry Lee Jordan LMSW NPI is 1285066886, taxonomy code is 1041C0700X and license number is 6606, license state is located at Louisiana. Terry Lee Jordan LMSW physically located at 2924 Knight St, Shreveport LA, 71105-2415. NPI Number Terry Lee Jordan LMSW has the Individual type.

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1285066886 NPI number is provided on an as is basis without warranty of any kind. 1285066886 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Lee Jordan LMSW are for informational purposes only.