Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 104100000X | Social Worker | S.2101699-TRNE | OH |
NPI | 1003401357 |
---|---|
Provider Name | Sean M Robinson |
First Address | Columbus, OH 43215-5602 |
Second Address | Columbus, OH 43215-5602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2021 |
Last Update Date | 08/03/2021 |