Individual
MISS ALICIA LORELEI JEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7211 TAYLORSVILLE RD, HUBER HEIGHTS, OH 45424-2376
(937) 287-9637
Mailing address
1937 N CENTRAL DR, BEAVERCREEK, OH 45432-2013
(937) 479-4402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0300341
OH
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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