Individual
SHANAE CRADDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 N TERRACE AVE, COLUMBUS, OH 43204-3732
(614) 517-5920
Mailing address
39 N TERRACE AVE, COLUMBUS, OH 43204-3732
(614) 517-5920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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