Individual
ERICA DIANA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
104100000X
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
380 W 2ND ST, DAYTON, OH 45422-4999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106346
OH
Other
Enumeration date
06/10/2021
Last updated
06/11/2021
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