Miechon Jordan

NPI #1215332671 in Standish, Michigan

Provider Information

NPI Number: 1215332671
Entity Type: Individual
Name: Miechon Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 1000 W CEDAR ST
City: Standish
State: Michigan
ZIP Code: 48658-9421
Phone: (989) 846-4573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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