Individual
JILL ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 E MAIN ST, COLUMBUS, OH 43215-5384
(614) 355-8550
(614) 355-8593
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1303100
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209878
—
OH
05
—
2846675
—
OH
Enumeration date
10/30/2012
Last updated
07/31/2017
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