Individual
JACQUELYN ALYSON LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
414 N DETROIT ST, WEST LIBERTY, OH 43357-9690
(937) 465-0010
(888) 925-1725
Mailing address
414 N DETROIT ST, WEST LIBERTY, OH 43357-9690
(937) 465-0010
(888) 925-1725
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0029457
OH
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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