Individual
ACACIA QUAINTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1069 W BROAD ST STE 1008, COLUMBUS, OH 43222-1440
(614) 681-1460
(614) 639-8228
Mailing address
5587 READERS ST, CANAL WINCHESTER, OH 43110-8328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.1801256
OH
Other
Enumeration date
10/24/2018
Last updated
07/30/2020
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