Daniel Gough
Case Manager/Care Coordinator in Columbus, OH. Individual provider (NPI-1).
NPI number1669958823
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1669958823
- Entity type
- Individual (NPI-1)
- Name
- Daniel Gough
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Practice location
1301 N High StColumbus, OH 43201-2460
Phone 614-299-6600
Mailing address
1301 N High StColumbus, OH 43201-2460
Phone 614-299-6600
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