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Jessica Carroll, LISW

Social Worker, Clinical in Blue Ash, OH. Individual provider (NPI-1).

NPI number1801271663
StatusActive
Last updated in NPPESJul 22, 2015

Details

NPI
1801271663
Entity type
Individual (NPI-1)
Name
Jessica Carroll
Credential
LISW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2015
Last updated
Jul 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical1101149OHYes

Practice location

4240 Hunt Rd
Blue Ash, OH 45242-6612

Phone 513-891-0650 · Fax 513-891-2838

Mailing address

4240 Hunt Rd
Blue Ash, OH 45242-6612

Phone 513-891-0650 · Fax 513-891-2838

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