Blake Skidmore
Social Worker in Columbus, OH. Individual provider (NPI-1).
NPI number1033453089
StatusActive
Last updated in NPPESNov 15, 2012
Details
- NPI
- 1033453089
- Entity type
- Individual (NPI-1)
- Name
- Blake Skidmore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2012
- Last updated
- Nov 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | S.1002032 | OH | Yes |
Practice location
399 E Main StColumbus, OH 43215-5384
Phone 614-355-8550 · Fax 614-355-8593
Mailing address
Po Box 715194Columbus, OH 43271-5194
Phone 614-355-8004 · Fax 614-355-2220
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