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Individual

HALLE KLEIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
455 E DUBLIN GRANVILLE ROAD, WORTHINGTON, OH 43085
(614) 940-1482
Mailing address
17059 STATE ROUTE 161 W, PLAIN CITY, OH 43064-9039
(614) 940-1482

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010684796
OH
Enumeration date
10/30/2018
Last updated
10/30/2018
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