Individual
GARTH HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1943 W 5TH AVE, COLUMBUS, OH 43212-1902
(614) 477-8257
Mailing address
297 RAVINE RIDGE DR N, POWELL, OH 43065-9352
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1700034
OH
Other
Enumeration date
05/05/2015
Last updated
01/20/2017
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