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Individual

AYANNIA MOHAMMAD KEENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW-LSW

Contact information

Practice address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
(614) 732-8333
Mailing address
372 LAWRENCE AVE, COLUMBUS, OH 43228-6104
(614) 312-2926

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1700408
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0281533
OH
Enumeration date
08/28/2017
Last updated
05/24/2022
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