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Individual

MRS. JANICE B GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.I.S.W.

Contact information

Practice address
1320 KING AVE, COLUMBUS, OH 43212-2221
(614) 487-0358
(614) 481-2174
Mailing address
1320 KING AVE, COLUMBUS, OH 43212-2221
(614) 487-0358
(614) 481-2174

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16017
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115760
ANTHEM
OH
01
13328500
MAGELLAN MIS#
OH
01
4277398
AETNA
OH
Enumeration date
09/21/2006
Last updated
07/09/2007
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