Individual
JEWELL LEIGH GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
8997 HOLLANSBURG SAMPSON RD, ARCANUM, OH 45304-8617
(937) 248-7582
Mailing address
8997 HOLLANSBURG SAMPSON RD, ARCANUM, OH 45304-8617
(937) 248-7582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-00008979-S
OH
Other
Enumeration date
07/12/2020
Last updated
05/10/2021
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