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Individual

DONNA J JEZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
5255 N ABBE RD, SUITE 1, SHEFFIELD VILLAGE, OH 44035-1451
(440) 934-9930
(440) 934-9645
Mailing address
2525 E 22ND ST, CLEVELAND, OH 44115-3202
(216) 696-5800
(216) 696-5638

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0022739
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000391251
ANTHEM BLUE CROSS PIN
OH
Enumeration date
07/24/2006
Last updated
04/15/2008
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