Individual
MRS. JAMIE EVERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
698 MORRISON RD, COLUMBUS, OH 43213-4419
(419) 654-6699
Mailing address
6254 NEEDLETAIL RD, COLUMBUS, OH 43230-6489
(419) 654-6699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1303306
OH
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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