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1104033562
JAMES DEROSA
TOLEDO, OH
NPI
1104033562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I 7195)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mr. JAMES DEROSA LISW
3454 OAK ALLEY CT SUITE 305
TOLEDO, OH 43606-1306
Phone number: 419-534-2468
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Mailing Address
Mr. JAMES DEROSA LISW
3454 OAK ALLEY CT SUITE 305
TOLEDO, OH 43606-1306
Phone number: 419-534-2468
Copy
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