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Individual

MAKEDA NAEEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CDC, LSW

Contact information

Practice address
1925 E DUBLIN GRANVILLE RD STE 236, COLUMBUS, OH 43229-3517
(614) 987-5100
Mailing address
1925 E DUBLIN GRANVILLE RD STE 236, COLUMBUS, OH 43229-3517
(614) 987-5100

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0016345
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0016345
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013623818
OH
05
341924603
OH
Enumeration date
04/04/2016
Last updated
05/22/2023
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