Individual
JERITA TARELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(234) 542-9457
Mailing address
3942 CLEGGAN ST, CANAL WINCHESTER, OH 43110-8125
(234) 542-9457
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0900544
OH
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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