Individual
JILL MARIE MYSONHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Contact information
Practice address
975 KINGSVIEW DR, BLDG A, LEBANON, OH 45036-9562
(513) 228-7800
(513) 228-7846
Mailing address
204 COOK RD, SUITE 400, LEBANON, OH 45036-9600
(513) 228-7800
(513) 695-2952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1101601-SUPV
OH
Other
Enumeration date
10/12/2009
Last updated
11/05/2015
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