Individual provider · NPI-1

Fadumo Adam

Social Worker · Columbus, OH

NPI number1649958836
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1649958836
Entity type
Individual (NPI-1)
Name
Fadumo Adam
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2023
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerS.2106910OHYes

Practice location

525 E Mound St
Columbus, OH 43215-5540

Phone 614-722-2000 · Fax 614-355-5594

Mailing address

700 Childrens Dr
Columbus, OH 43205-2639

Phone 614-722-2000

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