Individual
ABDUR SIDDIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSE SOCIAL WORKE
Contact information
Practice address
5465 ARGO LN, COLUMBUS, OH 43232-5402
(614) 354-7006
Mailing address
PO BOX 583, BRICE, OH 43109-0583
(614) 354-7006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2002498
OH
104100000X
Social Worker
S.1303293
OH
Other
Enumeration date
11/05/2019
Last updated
08/12/2021
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