Individual
JESSICA STOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1550 N MAIN ST, LIMA, OH 45801-2823
(419) 516-0327
(419) 225-8878
Mailing address
329 N WEST STREET, LIMA, OH 45801-4332
(419) 221-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1801012
OH
Other
Enumeration date
11/13/2014
Last updated
11/19/2024
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