Individual
JEREMY PAUL CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LSW
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(855) 289-1722
Mailing address
203 E PINE ST, WOOSTER, OH 44691-2960
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1201394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
01/26/2007
Last updated
03/18/2025
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