Individual
JESSE WENDELL BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 320-8964
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4897
(216) 320-8964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2309388
OH
Other
Enumeration date
08/02/2022
Last updated
06/14/2023
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