Jessica S Datta, LSW
NPI #1003113150 in Perrysburg, Ohio
Provider Information
- NPI Number
- 1003113150
- Entity Type
- Individual
- Name
- Jessica S Datta, LSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LSW
- Enumeration Date
- Feb 24, 2011
- Last Updated
- Feb 24, 2011
Practice Location
- Address
- 975 COMMERCE DR
- City
- Perrysburg
- State
- Ohio
- ZIP Code
- 43551-5228
- Phone
- (419) 874-0274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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