Individual
MRS. JENNIFER SUE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.S.W.
Contact information
Practice address
550 SUMMIT AVE, TROY, OH 45373-3047
(937) 335-0361
Mailing address
1180 CLOVERDALE DR, TROY, OH 45373-1781
(937) 272-8668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S. 0014230
OH
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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