Individual
JENNIFER KATHRIN MONGENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0800056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341458441
—
OH
Enumeration date
07/14/2010
Last updated
07/14/2010
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