Individual
JESSICA NICOLE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
824 E BROAD ST, ELYRIA, OH 44035-6559
(440) 477-7195
Mailing address
824 E BROAD ST, ELYRIA, OH 44035-6559
(440) 477-7195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OH
1041C0700X
Clinical Social Worker
Primary
I.2103129
OH
Other
Enumeration date
05/19/2018
Last updated
04/08/2026
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