Individual
JENNIFER LOUISE HEZOUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
49563 O R AND W STATION ST, JACOBSBURG, OH 43933-9606
(740) 338-8292
Mailing address
PO BOX 62, JACOBSBURG, OH 43933-0062
(740) 338-8292
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
09246
OH
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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