Individual
JOSEPH GERARD JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1806 MADISON AVE, TOLEDO, OH 43604-5460
(419) 291-1801
Mailing address
5855 MONROE ST STE 201, SYLVANIA, OH 43560-2270
(419) 291-1801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801065763
MI
1041C0700X
Clinical Social Worker
Primary
I.0004783-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801065763
MICHIGAN SOCIAL WORK LICENSE
MI
01
—
I.4783
MY OHIO SOCIAL WORK LICENSE
OH
Enumeration date
11/27/2018
Last updated
08/15/2019
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