Jordan Elzie
Social Worker, Clinical in Turlock, CA. Individual provider (NPI-1).
NPI number1164076360
StatusActive
Last updated in NPPESJul 26, 2019
Details
- NPI
- 1164076360
- Entity type
- Individual (NPI-1)
- Name
- Jordan Elzie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2019
- Last updated
- Jul 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
2855 Geer RdTurlock, CA 95382-1133
Phone 209-668-9361
Mailing address
2855 Geer RdTurlock, CA 95382-1133
Phone 209-668-9361
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