Individual
JAY VANLANDINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6128 HAMILTON AVE APT 15, CINCINNATI, OH 45224-2530
(513) 967-3798
Mailing address
6128 HAMILTON AVE APT 15, CINCINNATI, OH 45224-2530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I200878
OH
Other
Enumeration date
12/03/2013
Last updated
07/08/2022
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