Individual
CARMEN SHA'RAINE DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W BROAD ST, COLUMBUS, OH 43222-1464
(614) 717-0822
Mailing address
1282 SEATON LN, COLUMBUS, OH 43229-2651
(614) 741-9456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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