Individual
JENNIFER R MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 931-1400
Mailing address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 931-1400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1502353
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972553063
BUSINESS NPI
OH
05
—
2098359
—
OH
Enumeration date
12/08/2016
Last updated
12/08/2016
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