Individual
JENNIFER WALLSTEADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3333 BURNET AVE # MLC6019, CINCINNATI, OH 45229-3026
(513) 636-4124
(513) 636-4283
Mailing address
3333 BURNET AVENUE, MLC 6019, CINCINNATI, OH 45229-3026
(513) 636-4124
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801098099
MI
1041C0700X
Clinical Social Worker
Primary
I.1700483
OH
Other
Enumeration date
06/10/2015
Last updated
03/17/2018
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