Individual
MRS. JEANETTE INEZ PYCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
246 NORTHLAND DR STE 200A, MEDINA, OH 44256-3440
(330) 725-9195
(330) 725-9187
Mailing address
329 FINDLEY AVE, WELLINGTON, OH 44090-9318
(440) 371-1572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1700435
OH
1041C0700X
Clinical Social Worker
Primary
I.1700435
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238729
—
OH
Enumeration date
08/02/2017
Last updated
02/25/2020
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