Individual
MS. LATAVIA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 875-2371
Mailing address
4521 BELVEDERE PARK, COLUMBUS, OH 43228-6356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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