Individual
CHEYENNE SEVERENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSW
Contact information
Practice address
899 E BROAD ST, COLUMBUS, OH 43205-1156
(614) 928-9418
(614) 928-9401
Mailing address
200 BUCKEYE CIR, COLUMBUS, OH 43217-1000
(614) 928-9418
(614) 928-9401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.1303046
OH
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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