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Individual

MRS. JESSICA ANN PHILLIPS-DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
5001 ROCKSIDE ROAD, CROWN CENTER II, INDEPENDENCE, OH 44131
(330) 904-4198
Mailing address
5001 ROCKSIDE RD, INDEPENDENCE, OH 44131-2172

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1502320-SUPV
OH

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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