Individual
JACLYNN E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
(330) 797-9146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2304667-SUPV
OH
Other
Enumeration date
05/06/2021
Last updated
09/16/2024
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