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Individual

JENNIE E ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LSW

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0015218
OH
1041C0700X
Clinical Social Worker
S.0015218
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268768
OH
Enumeration date
02/25/2011
Last updated
02/25/2011
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