Individual
JENNIFER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
2049 LAKE AVE, SPOSITO BUILDING, ASHTABULA, OH 44004-3433
(440) 992-0274
Mailing address
2049 LAKE AVE, SPOSITO BUILDING, ASHTABULA, OH 44004-3433
(440) 992-0274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I5601
OH
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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