Individual
CHARLCIA THOMAS-AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 LAKE CLUB DR STE 306, COLUMBUS, OH 43232-3198
(614) 266-1079
Mailing address
6515 ENCHANTING LN, CANAL WINCHESTER, OH 43110-3610
(614) 266-1079
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
OH
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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