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Individual

JENNIFER R. DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LISW

Contact information

Practice address
737 E HUDSON ST, COLUMBUS, OH 43211-1034
(614) 365-8311
(614) 365-8615
Mailing address
737 E HUDSON ST, COLUMBUS, OH 43211-1034
(614) 365-8311
(614) 365-8615

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1201479
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846675
OH
Enumeration date
08/13/2010
Last updated
02/04/2016
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