Individual
JAMIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1572
Mailing address
3930 PARLIAMENT PL, APT 27, KETTERING, OH 45429-4351
(440) 590-3849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1300718-TRNE
OH
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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