Individual
MARY JENNIFER FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 RAVINE RIDGE DR S, POWELL, OH 43065-9321
(740) 417-6849
Mailing address
168 RAVINE RIDGE DR S, POWELL, OH 43065-9321
(740) 417-6849
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2107826
OH
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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