Individual provider · NPI-1

Renna Abdullah, LISW-S

Social Worker, Clinical · Columbus, OH

NPI number1164769972
StatusActive
Last updated in NPPESJan 14, 2013

Details

NPI
1164769972
Entity type
Individual (NPI-1)
Name
Ms. Renna Abdullah
Credential
LISW-S
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2013
Last updated
Jan 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalI.1000269 SUPVOHYes

Practice location

2000 Polaris Pkwy Ste 100
Columbus, OH 43240-2006

Phone 614-430-9697

Mailing address

6691 Willow Grove Pl E
Dublin, OH 43017-1186

Phone 614-599-9978

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