Individual
MRS. JESSICA L. SIDELINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
197 E GAY ST, COLUMBUS, OH 43215-3229
(614) 221-5891
Mailing address
3630 PARK ST, GROVE CITY, OH 43123-2536
(614) 302-7974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I. 0900174
LISW
OH
Enumeration date
06/12/2007
Last updated
03/29/2023
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