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Mandy J Kienzle

Case Manager/Care Coordinator in Worthington, OH. Individual provider (NPI-1).

NPI number1689291908
StatusActive
Last updated in NPPESJul 2, 2020

Details

NPI
1689291908
Entity type
Individual (NPI-1)
Name
Mrs. Mandy J Kienzle
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 2, 2020
Certification date
Jul 2, 2020
Last updated
Jul 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Phone 615-436-7837 · Fax 614-515-5779

Mailing address

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Phone 615-515-5779

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