Individual
JESSICA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
264 S MAIN ST, MARION, OH 43302-3933
(740) 387-2027
(740) 382-8022
Mailing address
264 S MAIN ST, MARION, OH 43302-3933
(740) 387-2027
(740) 382-8022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I10099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000376756
ANTHEM BCBS
OH
Enumeration date
03/14/2006
Last updated
07/08/2007
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