| Jennifer Roberts Dugan | |
|
7506 Tyler Blvd Mentor OH 44060-5450 | |
| (440) 536-1004 | |
| (844) 397-0351 |
| Full Name | Jennifer Roberts Dugan |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7506 Tyler Blvd, Mentor, Ohio |
| Authorized Official Name and Position | Jennifer Dugan (OWNER) |
| Authorized Official Contact | 5089651539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Roberts Dugan Po Box 324 Chesterland OH 44026-0324 Ph: (508) 965-1539 | Jennifer Roberts Dugan 7506 Tyler Blvd Mentor OH 44060-5450 Ph: (440) 536-1004 |
| NPI Number | 1720672926 |
|---|---|
| Provider Enumeration Date | 02/27/2021 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720672926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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