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Individual

EARNEST THORPE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QBHS

Contact information

Practice address
700 BRYDEN RD. STE 122, COLUMBUS, OH 43215
(614) 681-0012
(614) 412-6944
Mailing address
700 BRYDEN RD. STE 122, COLUMBUS, OH 43215
(614) 681-0012
(614) 412-6944

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66628
OH
Enumeration date
09/12/2024
Last updated
02/21/2025
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