Most Relevant Information
Provider Data
| NPI Number: | 1003198698 |
| Provider Name: | ASHVIN O SHETH MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 34000336A |
Most Important Dates
| Enumeration Date: | 09/09/2011 |
| Last Updated: | 09/09/2011 |
Provider Practice Location
3007 CORDELE ST
PORTAGE
IN
463684562
Practice Location Phone/Fax
| Phone: | 2197623419 |
| Fax: |
Provider Mailing Location
3007 CORDELE ST
PORTAGE
IN
463684562
Provider Mailing Phone/Fax
| Phone: | 2197623419 |
| Fax: |