Individual
JESSE EVANGELINE VARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 N RIDGE RD E STE A, LORAIN, OH 44055-3359
(440) 324-1300
Mailing address
300 OLIVE ST, ELYRIA, OH 44035-4020
(440) 789-6426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2202316-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S.2202316-TRNE
—
OH
Enumeration date
01/31/2022
Last updated
01/31/2022
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