Individual
JENA MINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 GREEN BAY DR, YOUNGSTOWN, OH 44512-6235
(330) 942-1285
Mailing address
138 GREEN BAY DR, YOUNGSTOWN, OH 44512-6235
(330) 942-1285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600053
OH
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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