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Individual

JESSE NMN PHIFER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACSW, LISW

Contact information

Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 259-2000
(419) 259-3850
Mailing address
1323 UPTON AVE, TOLEDO, OH 43607-1766
(419) 259-2000
(419) 259-3850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-0003193
OH

Other

Enumeration date
10/20/2006
Last updated
07/08/2007
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