MR. Shane David Jewell, LSW

NPI #1063994192 in Newark, Ohio

Provider Information

NPI Number: 1063994192
Entity Type: Individual
Name: MR. Shane David Jewell, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Sep 5, 2018
Last Updated: Sep 5, 2018

Practice Location

Address: 2112 CHERRY VALLEY RD
City: Newark
State: Ohio
ZIP Code: 43055-1323
Phone: (740) 755-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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