Individual
JESSICA KATHLEEN CRACOLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 AIRPORT DR, COLUMBUS, OH 43219-2219
(614) 769-5594
Mailing address
2720 AIRPORT DR, COLUMBUS, OH 43219-2219
(614) 769-5594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2004855
OH
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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