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Individual

TRACY L SIDESINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6797 N HIGH ST, SUITE 306, WORTHINGTON, OH 43085-2533
(614) 846-0305
Mailing address
459 TIBET RD, COLUMBUS, OH 43202-2231

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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