Organization
A BEAUTIFUL MIND 126 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYLVIA CAPRICE JORDAN LISW-S (DIRECTOR OF CLINICAL SERVICES)
(419) 961-8502
Entity
Organization
Contact information
Practice address
215 N TRIMBLE RD, MANSFIELD, OH 44906-2630
(419) 272-8488
Mailing address
129 ELDERBERRY DR, MANSFIELD, OH 44907-2882
(419) 961-8502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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