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Search › Connecticut › 104100000X

Jordan Blade

NPI 1598648321 · on the registry since 2025

Practice

Address
56 Poquonock Ave
Windsor, CT 06095
Phone
(475) 261-0459
Organisation at this address
Soebrown Inc.
Soebrown Wellness
Pathways To Perseverance Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut