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Individual

JENNIFER MARIE FACKELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1822 CHERRY ST, TOLEDO, OH 43608-2801
(419) 720-9247
Mailing address
2283 ASHLAND AVE, TOLEDO, OH 43620-1205
(419) 244-2175

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0901179
OH

Other

Enumeration date
07/11/2012
Last updated
04/24/2020
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