Individual
MS. TAMARA KATHLEEN JUODVALKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(146) 225-0990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA176616
OH
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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