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Individual

MS. JAYNE LYNN DECORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.S.W.

Contact information

Practice address
12680 SALEM WARREN RD, SALEM, OH 44460-9668
(330) 337-0088
Mailing address
12680 SALEM WARREN RD, SALEM, OH 44460-9668
(330) 337-0088

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0900293
OH

Other

Enumeration date
10/18/2009
Last updated
10/18/2009
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