Organization
THE GAP INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA I DAVIS LISW (SOCIAL WORKER)
(614) 586-3830
Entity
Organization
Contact information
Practice address
1611 OLD LEONARD AVE, COLUMBUS, OH 43219-2597
(614) 327-0535
Mailing address
6596 QUAIL CREEK DR, CANAL WINCHESTER, OH 43110-9394
(614) 327-0535
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1700380
OH
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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