Individual
ITALIA CHEYENNE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 SPARROW HILL DR, COLUMBUS, OH 43219-5547
(614) 902-0863
Mailing address
2603 SPARROW HILL DR, COLUMBUS, OH 43219-5547
(614) 902-0863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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