Individual
JODI STARTUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSW, ABD, LISWS
Contact information
Practice address
57 VERLIN ST, WAKEMAN, OH 44889-9310
(440) 420-2375
Mailing address
57 VERLIN ST, WAKEMAN, OH 44889-9310
(440) 420-2375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1451231
OH
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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