Jack Leroy Stoneburner MSW

NPI 1366589848 - Social Worker - 1041C0700X

NPI Details
NPI 1366589848
Gender Male
Enumeration Date 01/31/2007
Last Updated 04/20/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
5655 N HIGH ST
SUITE 208
WORTHINGTON OH, 43085, US
Phone (614) 505-6977
Fax (614) 505-3548
Business Location
5655 N HIGH ST
SUITE 208
WORTHINGTON OH, 43085, US
Phone (614) 505-6977
Fax (614) 457-6898
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number I 3017
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According to our database, Mr. Jack Leroy Stoneburner MSW NPI is 1366589848, taxonomy code is 1041C0700X and license number is I 3017, license state is located at Ohio. Jack Leroy Stoneburner MSW physically located at 5655 N High St, Worthington OH, 43085. NPI Number Jack Leroy Stoneburner MSW has the Individual type.

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1366589848 NPI number is provided on an as is basis without warranty of any kind. 1366589848 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Leroy Stoneburner MSW are for informational purposes only.