Individual
JACKSON RICHARD FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, BSW
Contact information
Practice address
1624 TIFFIN AVE STE A, FINDLAY, OH 45840-6852
(419) 427-3320
(419) 427-1697
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 697-8010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904009
OH
Other
Enumeration date
08/27/2018
Last updated
03/29/2021
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