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Jolene Previty

Case Manager/Care Coordinator in Warren, OH. Individual provider (NPI-1).

NPI number1053057166
StatusActive
Last updated in NPPESMay 11, 2022

Details

NPI
1053057166
Entity type
Individual (NPI-1)
Name
Jolene Previty
Sex
Female
Sole proprietor
Yes
Enumeration date
May 11, 2022
Certification date
Apr 27, 2022
Last updated
May 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

552 N Park Avenue
Warren
Warren, OH 44481

Phone 234-243-3127 · Fax 330-306-9373

Mailing address

1378 Mercer Grove City Rd
Mercer, PA 16137-6244

Phone 724-301-2710

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