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Jordan Rodgers, LICSW

Social Worker, Clinical in Litchfield, MN. Individual provider (NPI-1).

NPI number1437044567
StatusActive
Last updated in NPPESJun 10, 2025

Details

NPI
1437044567
Entity type
Individual (NPI-1)
Name
Jordan Rodgers
Credential
LICSW
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2025
Certification date
Jun 10, 2025
Last updated
Jun 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical31307MNYes

Practice location

114 N Holcombe Ave # 230
Litchfield, MN 55355-2210

Phone 320-979-9007

Mailing address

114 N Holcombe Ave # 230
Litchfield, MN 55355-2210

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