Individual
JODI FAYE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434876
—
OH
Enumeration date
02/24/2021
Last updated
08/23/2022
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