Jennifer Walsh, L.I.S.W.

NPI #1720117948 in Ashtabula, Ohio

Provider Information

NPI Number: 1720117948
Entity Type: Individual
Name: Jennifer Walsh, L.I.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.I.S.W.
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2049 LAKE AVE
Address 2: SPOSITO BUILDING
City: Ashtabula
State: Ohio
ZIP Code: 44004-3433
Phone: (440) 992-0274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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