Individual
JEANNE MARIE MOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
13163 E HEATHER LANE, COLUMBIA STATION, OH 44028
(330) 418-9528
Mailing address
13163 E HEATHER LANE, COLUMBIA STATION, OH 44028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0000410
SW LICENSE
OH
Enumeration date
09/04/2017
Last updated
09/04/2017
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