Jordan Tabb, LCSW

NPI #1780010041 in Ketchikan, Alaska

Provider Information

NPI Number: 1780010041
Entity Type: Individual
Name: Jordan Tabb, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 18, 2013
Last Updated: Jul 21, 2022

Practice Location

Address: 721 STEDMAN ST
City: Ketchikan
State: Alaska
ZIP Code: 99901-6632
Phone: (907) 225-7825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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