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Individual

MS. JENNIFER MCCLELLAN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSSA,LISW

Contact information

Practice address
100 PARKER CT, CHARDON, OH 44024-1141
(440) 286-1553
(440) 286-1318
Mailing address
19420 LOMOND BLVD, SHAKER HEIGHTS, OH 44122-5110
(216) 295-1902

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0005797
OH

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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