Individual
ANDREW KRUTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 279-2273
Mailing address
680 PARK AVE W, MANSFIELD, OH 44906-3706
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2208093
OH
Other
Enumeration date
12/06/2021
Last updated
03/01/2024
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