Jackson Arenberg
Social Worker in Willoughby, OH. Individual provider (NPI-1).
NPI number1942981907
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1942981907
- Entity type
- Individual (NPI-1)
- Name
- Jackson Arenberg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2023
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
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