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Jennifer Conrad

Community Health Worker in Athens, OH. Individual provider (NPI-1).

NPI number1124512769
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1124512769
Entity type
Individual (NPI-1)
Name
Jennifer Conrad
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2018
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

11 Graham Dr
Athens, OH 45701-1430

Phone 800-321-8293

Mailing address

Po Box 1595
Columbus, OH 43216-1595

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