Individual
TALISA CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 FREBIS AVENUE, COLUMBUS, OH 43206
(614) 843-4012
Mailing address
712 FREBIS AVENUE, COLUMBUS, OH 43206
(614) 843-4012
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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