Individual
KUBRA CIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2102997
OH
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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