Individual
ELAYNA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
(614) 501-5797
Mailing address
1455 S 4TH ST, COLUMBUS, OH 43207-1011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932169497
SOUTHEAST, INC
OH
Enumeration date
11/16/2017
Last updated
10/18/2022
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