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Individual
JORDAN KOEGLE
Active
Individual
JORDAN KOEGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1600951
OH
1041C0700X
Clinical Social Worker
Primary
I2102753
OH
Other
Enumeration date
11/07/2019
Last updated
06/17/2021
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