Individual
MRS. JENNIFER LYNN SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
6150 PARK SQUARE DR, LORAIN, OH 44053-4153
(440) 984-3882
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1700644
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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