Individual
MR. JESSE DAVID HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
473 GLENDALE BLVD, MANSFIELD, OH 44907-2341
(740) 253-6273
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1201098
OH
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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