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Individual

DIANE L. BIGELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LCDCIII

Contact information

Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.081185
OH
104100000X
Social Worker
Primary
S.0012141
OH

Other

Enumeration date
10/23/2017
Last updated
10/23/2017
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