Individual
JENNIFER DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
67925 BAYBERRY DR, SAINT CLAIRSVILLE, OH 43950-9132
(740) 526-0204
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
(330) 264-3879
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0032185
OH
1041C0700X
Clinical Social Worker
Primary
I.1801167-SUPV
OH
Other
Enumeration date
11/17/2016
Last updated
03/08/2021
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