| Doctor Name: | MS. ROSEMARY JORDAN |
| NPI Number: | 1093798589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | |
| Business Practice Address: | 2100 52nd Ave Moline, IL - 612656366 |
| Business Phone Number: | 3097972900 |
| Business Fax Number: | 3097972417 |
| Mailing Address: | 2100 52nd Ave, MOLINE |
| State: | IL |
| Postal Code: | 612656366 |
| Phone Number: | 3097972900 |
| Fax Number: | 3097972417 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 02/01/2006 |
| NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |