Provider Demographics
NPI:1205074531
Name:DEBOL, JEANNETTE (MSW, LISW, LCSW)
Entity type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:DEBOL
Suffix:
Gender:F
Credentials:MSW, LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2701
Mailing Address - Country:US
Mailing Address - Phone:513-731-3346
Mailing Address - Fax:513-458-3582
Practice Address - Street 1:2421 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2701
Practice Address - Country:US
Practice Address - Phone:513-731-3346
Practice Address - Fax:513-458-3582
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker