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Individual

CAITLIN M UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 701-5071
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6724
(740) 592-6728

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1700947
OH
163W00000X
Registered Nurse
Primary
485921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2314525
OH
05
2864002
OH
Enumeration date
04/18/2018
Last updated
03/13/2023
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