Most Relevant Information
Provider Data
| NPI Number: | 1003452350 |
| Provider Name: | TESS J LOHSE LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S.1701561 |
Most Important Dates
| Enumeration Date: | 11/21/2019 |
| Last Updated: | 11/21/2019 |
Provider Practice Location
1045 KLOTZ RD
BOWLING GREEN
OH
434024820
Practice Location Phone/Fax
| Phone: | 4193527588 |
| Fax: |
Provider Mailing Location
1650 ADAMS RIDGE RD
DEFIANCE
OH
435129674
Provider Mailing Phone/Fax
| Phone: | 4197896263 |
| Fax: |