ALEXANDRIA BANTA

COLUMBUS, OH
NPI1689241085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.1901417-SUPV)
Enumeration Date2021-06-06
Last Update Date2021-06-06
Business Address
ALEXANDRIA BANTA LISW-S
1120 POLARIS PKWY STE 204
COLUMBUS, OH 43240-4042
Phone number: 859-630-5219
Mailing Address
ALEXANDRIA BANTA LISW-S
184 E KOSSUTH ST
COLUMBUS, OH 43206-2160
Phone number: 859-630-5219
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