Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | I.1901707 | OH |
NPI | 1003325002 |
---|---|
Provider Name | David James Collins |
First Address | Columbus, OH 43212-1422 |
Second Address | Columbus, OH 43215-3988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 02/10/2020 |