Individual
GREGORY KIETH HINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
431 E LIVINGSTON AVE, COLUMBUS, OH 43215-5533
(614) 487-8758
Mailing address
5900 SHARON WOODS BLVD, COLUMBUS, OH 43229-2600
(614) 895-6818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.2101769-TRNE
OH
104100000X
Social Worker
Primary
S.2208031
OH
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
08/15/2022
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