Jordan Louk I

NPI #1003323064 in Mansfield, Ohio

Provider Information

NPI Number: 1003323064
Entity Type: Individual
Name: Jordan Louk I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2017
Last Updated: Dec 29, 2017

Practice Location

Address: 1033 LARCHWOOD RD
City: Mansfield
State: Ohio
ZIP Code: 44907-2424
Phone: (419) 747-4122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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