Individual
AMBER AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDREN'S DR, COLUMBUS, OH 43205-2664
(614) 355-8080
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
09/08/2011
Last updated
01/21/2020
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