DANA D JESSUP CSW

Dr DANA D JESSUP CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 2004.

Contact

17821 78TH ST
MC LOUTH
KS
660545091

Tel: 9136698602

DANA D JESSUP CSW Information

Npi 1508890146
Pac Id 9830155811
Professional Enrollment Id I20041202000315
Last Name JESSUP
First Name DANA
Middle Name D
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 2004
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 17821 78TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MC LOUTH
State KS
Zip Code 660545091
Phone Number 9136698602
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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