Individual
JENNA BULLOCK SALIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
2742 RHETT DR, BEAVERCREEK, OH 45434-6235
(937) 371-8997
Mailing address
2742 RHETT DR, BEAVERCREEK, OH 45434-6235
(937) 371-8997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
I.1901716-SUPV
OH
Other
Enumeration date
01/31/2013
Last updated
05/08/2025
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