Individual
JODI L ROUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
721 W 13TH ST, JASPER, IN 47546-1855
(812) 481-5780
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-0419
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33004788A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092520
—
IN
Enumeration date
06/30/2006
Last updated
12/11/2023
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