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Individual

MISS JODI LEE OHNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCHW

Contact information

Practice address
655 S ASH AVE, TEMPE, AZ 85281-2812
(480) 350-8004
Mailing address
1620 N 61ST DR, PHOENIX, AZ 85035-4804
(602) 373-0463

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW0000000022
AZ

Other

Enumeration date
03/15/2023
Last updated
09/21/2023
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