Individual
JO ELLEN LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2219 ACORN DR, KETTERING, OH 45419-2745
(937) 898-6268
Mailing address
2219 ACORN DR, KETTERING, OH 45419-2745
(937) 760-0268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 0008834
OH
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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