Individual
MISS JENNIFER CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LISW-S
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(216) 280-0401
Mailing address
1235 W 6TH ST, 2G, CLEVELAND, OH 44113-1321
(216) 280-0401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1000236-SUPV
OH
Other
Enumeration date
07/24/2010
Last updated
01/18/2012
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