Individual
GWENDOLYN WENDY LYDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.-C.R.
Contact information
Practice address
1259 STATE ROUTE 203, DELAWARE, OH 43015-9759
(740) 815-7523
Mailing address
136 NORTHWOODS BLVD, SUITE A2, COLUMBUS, OH 43235-4728
(614) 905-7618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0700124
OH
Other
Enumeration date
10/28/2014
Last updated
01/13/2015
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