Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Aug 31, 2006
License(s)
COA10738NP (OH), COA10738NP (OH), APRN.CNP.10738 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 81 OUTERBELT ST | Columbus, OH 43213-1548 | 614-759-5075 |
| MAILING | 81 OUTERBELT ST | Columbus, OH 43213-1548 | 614-759-5075 |
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