Jerry Ryan Hackley III, MSW, LSW

NPI #1992289417 in Seville, Ohio

Provider Information

NPI Number: 1992289417
Entity Type: Individual
Name: Jerry Ryan Hackley III, MSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LSW
Enumeration Date: Sep 20, 2018
Last Updated: May 22, 2019

Practice Location

Address: 269 CENTER ST
City: Seville
State: Ohio
ZIP Code: 44273-8864
Phone: (330) 591-4648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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