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Jasmine D Black

Case Manager/Care Coordinator in Toledo, OH. Individual provider (NPI-1).

NPI number1295580413
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1295580413
Entity type
Individual (NPI-1)
Name
Jasmine D Black
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2024
Certification date
Apr 21, 2024
Last updated
Apr 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3950 Sunforest Ct Ste 207
Toledo, OH 43623-4522

Phone 419-720-6811 · Fax 419-754-2271

Mailing address

3950 Sunforest Ct Ste 207
Toledo, OH 43623-4522

Phone 419-720-6811 · Fax 419-754-2271

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