Individual
MS. JANICE BERSOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-6256
(740) 852-6395
Mailing address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-6256
(740) 852-6395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0000386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000064641
ANTHEM
OH
01
—
0005451568
AETNA
OH
Enumeration date
10/31/2005
Last updated
07/08/2007
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