NPI 1003113150

Jessica S Datta, LSW

Practitioner Clinical Social Worker Perrysburg, OH

Practice location

Address: 975 Commerce Dr, Perrysburg, OH 43551-5228
Phone: (419) 874-0274
Fax: (419) 874-9960

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence S0027641 (OH)

Other Social Worker providers in Ohio →

Registry record

NPI: 1003113150
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2011
Record last updated: 24 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.