Individual
KELSEY GENTILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Mailing address
3070 RIVERSIDE DR STE 200, COLUMBUS, OH 43221-2547
(614) 615-5145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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