Individual
MRS. JACQUELYN ANN LANTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.W.
Contact information
Practice address
1044 RESERVOIR RUN, MINERAL RIDGE, OH 44440-9016
(330) 652-0493
Mailing address
1044 RESERVOIR RUN, MINERAL RIDGE, OH 44440-9016
(330) 652-0493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0022544
OH
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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