Individual
MRS. JESSICA MARIE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2659 GUNCKEL BLVD, TOLEDO, OH 43606-3724
(419) 551-1056
Mailing address
2659 GUNCKEL BLVD, TOLEDO, OH 43606-3724
(419) 551-1056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1502305
OH
1041C0700X
Clinical Social Worker
I.1502305-SUPV
OH
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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