Individual
JORDAN KOEGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(614) 610-1506
(614) 834-8694
Mailing address
3964 HAMILTON SQUARE BLVD, GROVEPORT, OH 43125-9119
(614) 610-1506
(614) 834-8694
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1600951
OH
1041C0700X
Clinical Social Worker
Primary
I2102753
OH
Other
Enumeration date
11/07/2019
Last updated
06/17/2021
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