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Individual

MS. FRANCINE JERISK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PC

Contact information

Practice address
42 E RAHN RD, SUITE 200, KETTERING, OH 45429-5462
(937) 902-5167
Mailing address
4900 SHANK RD, MORAINE, OH 45439-7426
(937) 902-5167

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1000133

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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