Mary K. Jordan, LICSW

NPI #1083611701 in Waconia, Minnesota

Provider Information

NPI Number
1083611701
Entity Type
Individual
Name
Mary K. Jordan, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LICSW
Enumeration Date
Jul 7, 2005
Last Updated
Jan 7, 2015

Practice Location

Address
500 S MAPLE ST
ZIP Code
55387-1752
Phone
(952) 442-2191

Specialties & Taxonomy Codes

Specialty
Social Worker

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