MRS. Jessica Lynn Bastian, LSW

NPI #1851764575 in Waverly, Ohio

Provider Information

NPI Number: 1851764575
Entity Type: Individual
Name: MRS. Jessica Lynn Bastian, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 3, 2015
Last Updated: Jun 14, 2023

Practice Location

Address: 102 DAWN LN
City: Waverly
State: Ohio
ZIP Code: 45690-9695
Phone: (740) 947-7783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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