Individual
GALE KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 FAIRWOOD AVE, COLUMBUS, OH 43207-2712
(614) 237-5497
Mailing address
3982 CREEK RD, SUNBURY, OH 43074-9707
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP272
OH
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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