Most Relevant Information
Provider Data
| NPI Number: | 1003557851 |
| Provider Name: | JENNIFER LYNN SHORTER MSW, LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | S.1700644 |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 04/05/2022 |
Provider Practice Location
6150 PARK SQUARE DR
LORAIN
OH
440534153
Practice Location Phone/Fax
| Phone: | 4409843882 |
| Fax: |
Provider Mailing Location
1925 HAYES AVE
SANDUSKY
OH
448704737
Provider Mailing Phone/Fax
| Phone: | 4195575177 |
| Fax: |