JENNIFER MICKEY-TELLEZ

Social Worker

Active Individual
NPI: 1962292920

Practice Address

3095 KETTERING BLVD
Moraine, OH 45439

Phone: (937) 293-8300

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes S.2613400 (OH)
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1962292920 is the National Provider Identifier for JENNIFER MICKEY-TELLEZ, a Social Worker provider located in Moraine, OH. This NPI was enumerated on May 12, 2025.
JENNIFER MICKEY-TELLEZ practices at 3095 KETTERING BLVD, Moraine, OH 45439.

Quick Facts

NPI
1962292920
Type
Individual
Enumerated
May 12, 2025
Last Updated
Jan 26, 2026

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