Individual
HOLLY JEDLICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
9800 JUG ST NW, PATASKALA, OH 43062-8691
(614) 395-1395
(740) 927-1516
Mailing address
PO BOX 92, KIRKERSVILLE, OH 43033-0092
(614) 395-1395
(740) 927-1516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1000061
OH
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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