Individual
MISS ADOLPHINE R MUTIVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4397 LE MARIE CT APT A, COLUMBUS, OH 43224-1463
(614) 556-0225
Mailing address
4397 LE MARIE CT APT A, COLUMBUS, OH 43224-1463
(614) 556-0225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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