Individual
MISS JAKARA JONELLE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11156 CANAL RD, CINCINNATI, OH 45241-5815
(513) 873-1386
Mailing address
11156 CANAL RD, CINCINNATI, OH 45241-5815
(513) 873-1386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
03/22/2021
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