Individual
MS. CHARLENE ELLEN CRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.I.S.W.
Contact information
Practice address
420 N JAMES RD, CHALMERS P. WYLIE VA AMBULATORY CARE CENTER, COLUMBUS, OH 43219-1834
(614) 257-5542
(614) 257-5289
Mailing address
5462 BANEBERRY AVE, COLUMBUS, OH 43235-7398
(614) 257-5542
(614) 257-5289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0800164
OH
Other
Enumeration date
08/29/2006
Last updated
01/07/2009
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