Individual
MS. BROOKE NICOLE KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 NORTHWOODS BLVD, COLUMBUS, OH 43235-7473
(614) 429-7307
Mailing address
5212 DEXTER FALLS RD, COLUMBUS, OH 43221-5730
(614) 429-7307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2002251
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I-20202251
SOCIAL WORK
OH
Enumeration date
05/21/2019
Last updated
08/05/2020
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