Most Relevant Information
Provider Data
| NPI Number: | 1003495060 |
| Provider Name: | ULRIKE JENNIFER ERIKA MARTIN LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | I.2102600 |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
44 KINTNER PKWY STE E
SUNBURY
OH
430749368
Practice Location Phone/Fax
| Phone: | 7403304310 |
| Fax: | 7403304330 |
Provider Mailing Location
1970 N COUNTY ROAD 605
SUNBURY
OH
430748981
Provider Mailing Phone/Fax
| Phone: | 6142567521 |
| Fax: |