Individual
JUANETTA ANDREA LATREECE BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-CHW
Contact information
Practice address
5665 CABOT COVE DR, HILLIARD, OH 43026-9025
(740) 739-8595
Mailing address
5665 CABOT COVE DR, HILLIARD, OH 43026-9025
(740) 739-8595
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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