Individual
JESSICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 ODEON ST OFC 26, CINCINNATI, OH 45202-7095
(513) 354-5200
Mailing address
219 ODEON ST OFC 26, CINCINNATI, OH 45202-7095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0800553
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.0800553
LSW
OH
Enumeration date
10/09/2017
Last updated
10/09/2017
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