Individual
MRS. JODI MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, LSW
Contact information
Practice address
6753 STATE RD, PARMA, OH 44134-4517
(216) 319-0693
(440) 843-1626
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
(216) 319-0693
(440) 843-1626
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2002321
OH
1041C0700X
Clinical Social Worker
S0901450
OH
Other
Enumeration date
08/15/2012
Last updated
01/13/2021
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