Jacqueline Kienzle

NPI #1033763107 in Canton, Ohio

Provider Information

NPI Number: 1033763107
Entity Type: Individual
Name: Jacqueline Kienzle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 27, 2019
Last Updated: Jul 27, 2019

Practice Location

Address: 919 2ND ST NE
City: Canton
State: Ohio
ZIP Code: 44704-1132
Phone: (330) 454-7917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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