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Organization

BLESSINGS IN DISGUIZE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE LYNN POPE LISW, LICDC (OWNER)
(419) 239-4079
Entity
Organization

Contact information

Practice address
4334 W CENTRAL AVE STE 203, TOLEDO, OH 43615-1679
(419) 239-4079
Mailing address
1805 FAIRFAX RD, TOLEDO, OH 43613-5211
(419) 239-4079

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/08/2017
Last updated
02/19/2019
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