Individual
DEBORAH ANNE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9500 EUCLID AVE # A41, CLEVELAND, OH 44195-0001
(216) 445-8170
(216) 445-6255
Mailing address
9500 EUCLID AVE # A41, CLEVELAND, OH 44195-0001
(216) 445-8170
(216) 445-6255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.1701367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCDCIII.161801
LICENSE
OH
01
—
S.1701367
LICENSE
OH
Enumeration date
10/23/2009
Last updated
03/18/2019
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