Individual
MISS JAMIE MARIE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
297 S SANDUSKY ST, DELAWARE, OH 43015-3615
(740) 362-3952
(740) 363-3043
Mailing address
1515 INDIANOLA AVE, COLUMBUS, OH 43201-2118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0000094-S
OH
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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