Organization
DEFIANCE REGIONAL MEDICAL CENTER
Active
Other names
defiance Regional Psychiatric Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE M PEFFLEY (OFFICE MANAGER)
(419) 783-6805
Entity
Organization
Contact information
Practice address
1250 RALSTON AVE, SUITE 105, DEFIANCE, OH 43512-5311
(419) 783-6805
(419) 783-6804
Mailing address
1250 RALSTON AVE, SUITE 105, DEFIANCE, OH 43512-5311
(419) 783-6805
(419) 783-6804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0004427
OH
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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