Individual
MRS. JANICE ANN LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
(419) 255-5623
Mailing address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
(419) 255-5623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0901105
OH
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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