Individual
JESSICA TYLER SPANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
273 E JACKSON ST, PAINESVILLE, OH 44077-4042
(216) 453-1112
Mailing address
273 E JACKSON ST, PAINESVILLE, OH 44077-4042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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