Mary Jo Fornash
Social Worker in Grafton, OH. Individual provider (NPI-1).
NPI number1669967758
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1669967758
- Entity type
- Individual (NPI-1)
- Name
- Mary Jo Fornash
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2018
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
38487 Crook StGrafton, OH 44044-9216
Phone 440-864-8164
Mailing address
38487 Crook StGrafton, OH 44044-9216
Phone 440-864-8164
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