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Individual

MS. JESSICA SUSAN WALLINGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LSW

Contact information

Practice address
10 DUN RD, CHILLICOTHE, OH 45601-1101
(606) 331-0888
Mailing address
10 DUN RD, CHILLICOTHE, OH 45601-1101
(606) 331-0888

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.2208480
101YM0800X
Mental Health Counselor

Other

Enumeration date
05/16/2022
Last updated
04/05/2023
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