Jean A Funk, BSW LSW

NPI #1760604094 in Fairborn, Ohio

Provider Information

NPI Number: 1760604094
Entity Type: Individual
Name: Jean A Funk, BSW LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BSW LSW
Enumeration Date: May 3, 2007
Last Updated: Mar 1, 2022

Practice Location

Address: 188 W HEBBLE AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-4960
Phone: (937) 791-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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