Doctor Name: | JODI KNOUFF |
NPI Number: | 1548419468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I-0009812 |
Business Practice Address: | 720 Armstrong Street St. Marys, OH - 458851800 |
Business Phone Number: | 4193947451 |
Business Fax Number: | 4193947452 |
Mailing Address: | 530 S Main St, LIMA |
State: | OH |
Postal Code: | 458041240 |
Phone Number: | 4192221168 |
Fax Number: | 4192222158 |
NPI Enumeration Date: | 09/16/2008 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-0009812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |