MRS. Shavonda Denise Jordan, MSW, PLCSW,LCASA

NPI #1225265986 in Manning, South Carolina

Provider Information

NPI Number: 1225265986
Entity Type: Individual
Name: MRS. Shavonda Denise Jordan, MSW, PLCSW,LCASA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, PLCSW,LCASA
Enumeration Date: Jun 19, 2009
Last Updated: Oct 29, 2014

Practice Location

Address: 215 COMMERCE ST
City: Manning
State: South Carolina
ZIP Code: 29102-2638
Phone: (803) 435-2124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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