Individual
JESSICA SIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 ALKYRE RUN STE 250, WESTERVILLE, OH 43082-6076
(614) 705-2585
Mailing address
PO BOX 517, JOHNSTOWN, OH 43031-0517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2410397
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2022
Last updated
03/22/2024
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