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Individual

MR. CRAIG KENT SLOAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3070 RIVERSIDE DR, COLUMBUS, OH 43221-2547
(866) 523-4268
Mailing address
3070 RIVERSIDE DR, COLUMBUS, OH 43221-2547
(866) 523-4268

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-288352
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010684796
OH
Enumeration date
10/30/2020
Last updated
09/25/2023
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