Individual
JODI A GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
112 E DUDLEY ST, MAUMEE, OH 43537-3366
(419) 326-5732
Mailing address
112 E DUDLEY ST, MAUMEE, OH 43537-3366
(419) 320-3960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901531-SUPV
OH
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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