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Individual

MRS. JANE RIELLY DOOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C 0701091

Contact information

Practice address
9775 FAIRWAY BLVD, POWELL, OH 43065-6947
(614) 570-7840
Mailing address
9775 FAIRWAY BLVD, POWELL, OH 43065-6947
(614) 570-7840

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
070638
OH
101Y00000X
Counselor
Primary
C0701091
OH

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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