Individual
JAIME GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(740) 219-2265
Mailing address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(740) 219-2265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1600336
OH
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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