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Individual

JESSICA LYNN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSA, LISW

Contact information

Practice address
12041 RAVENNA RD, CHARDON, OH 44024-7008
(440) 286-7154
(440) 286-1037
Mailing address
12041 RAVENNA RD, CHARDON, OH 44024-7008
(440) 286-7154
(440) 286-1037

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1501284
OH

Other

Enumeration date
02/29/2016
Last updated
02/29/2016
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