Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I. 0900225 | OH |
NPI | 1003197534 |
---|---|
Provider Name | Abbe M Straw |
First Address | Delaware, OH 43015-1474 |
Second Address | Columbus, OH 43206-2521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2011 |
Last Update Date | 11/05/2017 |