Organization
GARTH HEASLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARTH HEASLEY LISW (OWNER)
(614) 477-8257
Entity
Organization
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
(614) 477-8257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700034
OH
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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