Individual
JEAN M SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S RPT-S
Contact information
Practice address
131 N MAIN ST STE K, MARYSVILLE, OH 43040
(937) 441-3448
Mailing address
131 N MAIN ST STE K, MARYSVILLE, OH 43040-1191
(937) 441-3448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10122-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195602
—
OH
Enumeration date
01/23/2006
Last updated
02/20/2019
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