JERRY WAYNE HEATHERLY

CINCINNATI, OH
NPI1386991255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I 0005389 SUPV)
Enumeration Date2012-08-10
Last Update Date2012-08-10
Business Address
-- JERRY WAYNE HEATHERLY LISW-S
4750 WESLEY AVE STE J
CINCINNATI, OH 45212-2276
Phone number: 513-531-5110
Mailing Address
-- JERRY WAYNE HEATHERLY LISW-S
4750 WESLEY AVE STE J
CINCINNATI, OH 45212-2276
Phone number: 513-531-5110
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