Individual
ALLYSON EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(904) 605-4986
Mailing address
620 E BROAD ST STE 301, COLUMBUS, OH 43215-4037
(904) 605-4986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1201191
OH
1041C0700X
Clinical Social Worker
Primary
I.1901719-SUPV
OH
Other
Enumeration date
09/07/2016
Last updated
02/08/2024
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