Individual
ANDREA L DECENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(614) 355-7150
(614) 355-7855
Mailing address
DEPT. 781625, PO BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
03/12/2018
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