Individual
PROF. JACQUELINE T DOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCPRS
Contact information
Practice address
2475 PERDUE AVE, COLUMBUS, OH 43211-1876
(614) 440-2737
Mailing address
2475 PERDUE AVE, COLUMBUS, OH 43211-1876
(614) 440-2737
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
01249
OH
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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