Individual
JESSICA DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 32ND ST NW, CANTON, OH 44709-3136
(330) 417-3693
Mailing address
327 32ND ST NW, CANTON, OH 44709-3136
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1450409
OH
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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