Individual
JESSICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
658 W MARKET ST, LIMA, OH 45801-4653
(419) 222-1527
(419) 222-3586
Mailing address
658 W MARKET ST, LIMA, OH 45801-4653
(419) 222-1527
(419) 222-3586
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0500355
OH
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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