Individual
JACEY WAYBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239A OLD NATIONAL RD, OLD WASHINGTON, OH 43768-5000
(740) 489-5571
(740) 489-5004
Mailing address
PO BOX 94, OLD WASHINGTON, OH 43768-0094
(740) 489-5571
(740) 489-5004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2410785
OH
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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