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1003113150
JESSICA S DATTA
PERRYSBURG, OH
NPI
1003113150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH S0027641)
Enumeration Date
2011-02-24
Last Update Date
2011-02-24
Business Address
-- JESSICA S DATTA LSW
975 COMMERCE DR
PERRYSBURG, OH 43551-5228
Phone number: 419-874-0274
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Mailing Address
-- JESSICA S DATTA LSW
975 COMMERCE DR
PERRYSBURG, OH 43551-5228
Phone number: 419-874-0274
Copy
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