Individual
NICOLE PRATTE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5490 CLYDE MOORE DR., SUITE C, GROVEPORT, OH 43125
(614) 492-2520
Mailing address
5490 CLYDE MOORE DR., GROVEPORT, OH 43125
(614) 492-2520
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1539092
OH
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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