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Individual

LAURA JOHANNA CHILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 BETHEL RD STE 200, COLUMBUS, OH 43220-2005
(614) 459-3003
(614) 459-3003
Mailing address
5939 AVERY WOODS AVE UNIT E, DUBLIN, OH 43016-5513
(440) 724-1012

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2203992
OH

Other

Enumeration date
01/18/2022
Last updated
08/24/2023
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