(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003293267
Provider Name: KEGAN D BERADUCE MSW LISW
Entity Type: Individual
Taxonomy Code: 104100000X
Specialty: Social Worker
License Number: S1450434
Most Important Dates
Enumeration Date: 04/27/2015
Last Updated: 10/04/2021
Provider Practice Location
3600 OLENTANGY RIVER RD # D-102
COLUMBUS
OH
432143437
Practice Location Phone/Fax
Phone: 6143021478
Fax:
Provider Mailing Location
3600 OLENTANGY RIVER RD # D-102
COLUMBUS
OH
432143437
Provider Mailing Phone/Fax
Phone: 6143021478
Fax: