Individual
JESSE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 MONROE ST STE 204, TOLEDO, OH 43623-3467
(419) 865-5690
Mailing address
2804 ELMWOOD DR, SYLVANIA, OH 43560-9759
(419) 327-7954
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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