Individual
JACQUELINE STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
680 HIGH ST STE A, WADSWORTH, OH 44281-1690
(208) 313-4093
Mailing address
680 HIGH ST STE A, WADSWORTH, OH 44281-1690
(208) 313-4093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.22007580
OH
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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