Individual
JENNIE ANN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
525 E MOUND ST, COLUMBUS, OH 43215-5540
(614) 722-2000
(614) 355-5594
Mailing address
525 E MOUND ST, COLUMBUS, OH 43215-5540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1450610-SUPV
OH
171M00000X
Case Manager/Care Coordinator
I.1450610
OH
Other
Enumeration date
01/26/2023
Last updated
03/23/2023
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