Kegan D Beraduce, MSW LISW

NPI #1003293267 in Columbus, Ohio

Provider Information

NPI Number: 1003293267
Entity Type: Individual
Name: Kegan D Beraduce, MSW LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW LISW
Enumeration Date: Apr 27, 2015
Last Updated: Oct 4, 2021

Practice Location

Address: 3600 OLENTANGY RIVER RD # D-102
City: Columbus
State: Ohio
ZIP Code: 43214-3437
Phone: (614) 302-1478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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