Individual
CELESTE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1751 E LONG ST, COLUMBUS, OH 43203-2045
(614) 251-7610
Mailing address
4331 BLYTHE RD, COLUMBUS, OH 43224-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.440442
OH
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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