Terrie L Jordan, LICSW
NPI #1720064496 in Hanscom Afb, Massachusetts
Provider Information
- NPI Number
- 1720064496
- Entity Type
- Individual
- Name
- Terrie L Jordan, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Dec 15, 2005
- Last Updated
- Jan 22, 2014
Practice Location
- Address
- 90 VANDENBERG DR
- Address 2
- 66 MDS(AFMC) BLDG 1900
- City
- Hanscom Afb
- State
- Massachusetts
- ZIP Code
- 01731-2104
- Phone
- (781) 225-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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