Individual
DR. JODIE LYNN SKILLICORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3610 WEST MARKET STREET, FAIRLAWN, OH 44333-9301
(330) 715-9282
(330) 752-2541
Mailing address
3610 WEST MARKET STREET, SUITE 102, FAIRLAWN, OH 44333-9301
(330) 715-9282
(330) 752-2541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34008924
OH
Other
Enumeration date
07/26/2007
Last updated
10/27/2011
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