Individual
MS. IRMINA LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1272 HOPE AVE, COLUMBUS, OH 43212-3576
(614) 487-9778
Mailing address
1272 HOPE AVE, COLUMBUS, OH 43212-3576
(614) 487-9778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0008153
OH
Other
Enumeration date
03/22/2006
Last updated
05/24/2010
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