Individual
BROOKE STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
I.1440092
OH
1041C0700X
Clinical Social Worker
Primary
I.1440092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669437653
—
OH
Enumeration date
03/10/2014
Last updated
03/13/2024
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