JORDAN PETERSON STEPHAN, LSW

LSW

Clinical Social Worker

NPI: 1700642774Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

33011238A(IN)

Contact & Hours

Address: 10016 MONTICELLO BLVD
FORT WAYNE, IN 46825
Phone: (920) 379-5728

Quick Facts

NPI: 1700642774
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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