Individual
JILL ANTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-4111
(330) 856-5839
Mailing address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 856-4111
(330) 856-5839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.2207539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27451824
DRIVER'S LICENSE
PA
Enumeration date
05/19/2022
Last updated
05/19/2022
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