Jesse L Clark
Jesse L Clark is a Social Worker in Cincinnati, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
754 Old State Route 74 Ste CCincinnati, OH 45245-1275
Phone: (513) 559-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1619637089 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | December 27, 2021 |
| Mailing address | 754 Old State Route 74 Ste C, Cincinnati, OH 45245-1275 |
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