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Contact Information

JEAN M SHOEMAKER, LISW-S RPT-S
131 N MAIN ST STE K
MARYSVILLE, OH43040
 Phone: 937-441-3448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JEAN M SHOEMAKER · (Female)

NPI Number 1154391282
Status Active
Credentials LISW-S RPT-S
Entity Individual
Enumeration date 01/23/2006
Last updated 02/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 10122-S
  • OH Medicaid 0195602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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