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Individual

JESSICA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW,LICSW

Contact information

Practice address
402 FRONT ST, MARIETTA, OH 45750-2124
(740) 629-4300
Mailing address
402 FRONT ST, MARIETTA, OH 45750-2124
(740) 434-3060

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
AP00944679
WV
104100000X
Social Worker
I.2102687
OH
1041C0700X
Clinical Social Worker
Primary
I.2102687
OH

Other

Enumeration date
07/08/2015
Last updated
03/23/2025
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