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Individual

JAMIE L FADELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 225-6368
Mailing address
3719 BROTHERTON RD, CINCINNATI, OH 45209-1412
(513) 205-9745

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0030860.SUPV
OH

Other

Enumeration date
06/16/2006
Last updated
04/19/2013
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