| NPI | 1285057802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA FLORENCE STUCK Owenr Psychotherapist 614-785-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH LISW-S 007474) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |