Individual
DERRICKA AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1115 BETHEL RD, COLUMBUS, OH 43220-2690
(216) 246-7508
Mailing address
2379 HARPER ISABELLE APT 304, COLUMBUS, OH 43235-5196
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2004996
OH
1041C0700X
Clinical Social Worker
Primary
I.2204120
OH
Other
Enumeration date
09/04/2020
Last updated
02/03/2024
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