Individual
ELISSA VILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5090 HENDRON RD, GROVEPORT, OH 43125-9502
(614) 266-1713
Mailing address
5090 HENDRON RD, GROVEPORT, OH 43125-9502
(614) 266-1713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S2500
OH
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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