Individual
VIRGINIA DAWN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 296-7425
Mailing address
4172 WILLOW HOLLOW DR, COLUMBUS, OH 43230-1079
(614) 208-4572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1200596
OH
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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