JAY ALAN BASTIAN

FORT WAYNE, IN
NPI1912363375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IN  33007337A)
Enumeration Date2016-01-14
Last Update Date2024-10-15
Business Address
JAY ALAN BASTIAN LCSW
9329 ILLINOIS RD
FORT WAYNE, IN 46804-5796
Phone number: 260-418-9653
Mailing Address
JAY ALAN BASTIAN LCSW
9329 ILLINOIS RD
FORT WAYNE, IN 46804-5796
Phone number: 260-418-9653
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