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Organization

JODI JANKOWSKI LISW-S, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JODI LYNN JANKOWSKI LISW-S (CLINICAL THERAPIST/MEMBER)
(419) 349-6584
Entity
Organization

Contact information

Practice address
520 BROADWAY ST, TOLEDO, OH 43604-8808
(419) 349-6584
Mailing address
520 BROADWAY ST, TOLEDO, OH 43604-8808
(419) 349-6584

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I1100168
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157063
OH
01
1255619094
NPI
OH
Enumeration date
06/17/2016
Last updated
06/17/2016
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