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Provider Information for 1720269665


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Mrs. JENNIFER R. ORDONEZ LCSW


Sex: Female

NPI: 1720269665
Last Updated: 2007-11-20
Certification Date:

Details

NameValue
NPI1720269665
Enumeration Date2007-11-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 10399
WILMINGTON, NC 28404-0399
United States

Phone: 910-675-3533 | Fax:910-675-3405
 
Primary Practice Address 5000 LAMBS PATH WAY
CASTLE HAYNE, NC 28429-6311
United States

Phone: 910-675-3533 | Fax:910-675-3405
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNCC005864