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Individual

ELISE KNUEVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 E MAIN ST, COLUMBUS, OH 43215-5369
(614) 355-6300
(614) 355-6310
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1600304
OH
1041C0700X
Clinical Social Worker
Primary
I.1801042
OH
174400000X
Specialist
390200000X
Student in an Organized Health Care Education/Training Program
S.1400208-TRNE
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846675
OH
Enumeration date
12/18/2013
Last updated
11/19/2019
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