Individual
JERRY DOUGLAS HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-0533
(740) 397-1368
Mailing address
2803 AKRON RD, WOOSTER, OH 44691-7904
(330) 264-3232
(330) 202-3878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 9430
OH
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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