MARY JORDAN, LICSW
Social Worker
Active
Individual
NPI: 1083611701
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | 13949 (MN) |
Frequently Asked Questions
NPI 1083611701 is the National Provider Identifier for MARY JORDAN, LICSW, a Social Worker provider located in Waconia, MN. This NPI was enumerated on July 7, 2005.
MARY JORDAN, LICSW practices at 500 S MAPLE ST, Waconia, MN 55387.
Quick Facts
- NPI
- 1083611701
- Type
- Individual
- Enumerated
- Jul 7, 2005
- Last Updated
- Jan 7, 2015
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