Individual
JESSICA L SIMANTIRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
5172 LEAVITT RD, LORAIN, OH 44053-2384
(440) 282-7420
Mailing address
5172 LEAVITT RD, LORAIN, OH 44053-2384
(440) 282-7420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700238-SUPV
OH
Other
Enumeration date
04/29/2010
Last updated
01/06/2020
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