Individual
JENNIFER TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
(614) 225-0988
Mailing address
2649 DORSET RD, COLUMBUS, OH 43221-3045
(614) 286-5198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1803055
OH
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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