Individual
JENNIFER JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
(440) 527-8043
Mailing address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
(440) 527-8043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2004854
OH
1041C0700X
Clinical Social Worker
Primary
I.2304494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320640
—
OH
Enumeration date
10/18/2018
Last updated
05/17/2023
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