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 Date2016-01-14
Business Address
-- JAY ALAN BASTIAN LSW
5004 WOODHURST BLVD
FORT WAYNE, IN 46807-3134
Phone number: 260-418-9653
Mailing Address
-- JAY ALAN BASTIAN LSW
5004 WOODHURST BLVD
FORT WAYNE, IN 46807-3134
Phone number: 260-418-9653