Individual
SUSAN TUTTLE BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
691 S 5TH ST, COLUMBUS, OH 43206-2120
(644) 443-6155
(614) 444-1482
Mailing address
691 S 5TH ST, COLUMBUS, OH 43206-2195
(614) 443-6155
(614) 444-1482
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
I090
OH
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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