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JAY BASTIAN, LCSW
LCSW
Social Worker
NPI: 1912363375IndividualAccepts Medicare
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
33007337A(IN)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 9329 ILLINOIS RD
FORT WAYNE, IN 46804 - Phone
- (260) 418-9653
Quick Facts
- NPI
- 1912363375
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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