Individual
JENNIFER LYNN DIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
700 TIOGA TRL, WILLOUGHBY, OH 44094-7229
(440) 951-5698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0007628
OH
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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