Individual
JERUSHA R MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3188 MARY AVE, COLUMBUS, OH 43204
(614) 266-4351
Mailing address
3188 MARY AVE, COLUMBUS, OH 43204-1733
(614) 266-4351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1201107
OH
Other
Enumeration date
05/01/2017
Last updated
05/15/2019
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