Jessica Suzanne Black

NPI #1316688054 in Kenton, Ohio

Provider Information

NPI Number
1316688054
Entity Type
Individual
Name
Jessica Suzanne Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 5, 2022
Last Updated
Apr 5, 2022

Practice Location

Address
775 E ELIZA ST
City
Kenton
State
Ohio
ZIP Code
43326-1486
Phone
(419) 679-1219

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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