Individual
JOLYNN WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW SUPV
Contact information
Practice address
899 E BROAD ST FL 3, COLUMBUS, OH 43205-1156
(614) 355-8000
(614) 355-8018
Mailing address
899 E BROAD ST FL 3, COLUMBUS, OH 43205-1156
(614) 355-8000
(614) 355-8018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0800166-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
10/09/2008
Last updated
10/09/2008
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