Individual
JESSICA LEBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S.
Contact information
Practice address
700 S ILLINOIS AVE, MANSFIELD, OH 44907-1835
(419) 522-4319
Mailing address
890 W 4TH ST STE 100, MANSFIELD, OH 44906-2561
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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