Individual
ALICIA L ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
(614) 334-6906
Mailing address
4214 E MAIN ST, WHITEHALL, OH 43213-3028
(614) 334-6906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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