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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY K. JORDAN, LICSW

Active

MARY K. JORDAN, LICSW is a Social Worker healthcare provider located in WACONIA, Minnesota. NPI 1083611701 is currently active in the NPPES registry. Verify at CMS.

Social Worker · WACONIA, MN

Registration Details

NPI Number
1083611701
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2005 (21.063665413572 yrs)
Last Updated
Jan 7, 2015
License
13949 (MN)

Practice Information

Address
500 S MAPLE ST
WACONIA, MN, 553871752
Browse MN providers · Browse ZIP 55387
Phone
9524422191
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in WACONIA, MN

Name Credential NPI
DONALD JOHN HEYWOOD MSW 1639170087
LORI JEAN WEGNER MSW, LICSW 1366443715
SHARON LISA LETIZIO MSW LICSW 1972504041
MELANIE JANE WARM LICSW 1891796918
MRS. BIRDIE MARGARET MARTINKA-BREINER LICSW 1316949845
CHERYL VICTORIA PAULAHA LICSW 1780686204
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.