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1184776692
JESSICA NICOLE JACK RUSSELL
WARREN, OH
NPI
1184776692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1901879)
Enumeration Date
2007-01-17
Last Update Date
2019-11-04
Business Address
Ms. JESSICA NICOLE JACK RUSSELL LISW
425 NILES CORTLAND RD SE
WARREN, OH 44484-2478
Phone number: 330-856-3975
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Mailing Address
Ms. JESSICA NICOLE JACK RUSSELL LISW
4206 HOPKINS RD
YOUNGSTOWN, OH 44511-3710
Phone number: 412-559-4553
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