Organization
JOURNEY 4 SELF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN CARPENTER MSW, LISW (OWNER)
(937) 902-2183
Entity
Organization
Contact information
Practice address
121 E NORTH ST, SIDNEY, OH 45365-2709
(973) 902-2183
(937) 963-0932
Mailing address
2338 ALDRIN DR, SIDNEY, OH 45365-1510
(937) 902-2183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
03/15/2024
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