Individual
JANELLE DETHLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
495 E MAIN ST, COLUMBUS, OH 43215-5679
(614) 355-7150
(614) 355-7855
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802213
OH
1041C0700X
Clinical Social Worker
Primary
I.2103036-SUPV
OH
Other
Enumeration date
01/25/2018
Last updated
04/05/2024
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