Most Relevant Information
Provider Data
| NPI Number: | 1003313388 |
| Provider Name: | ELENICE GOMES |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | S1701409 |
Most Important Dates
| Enumeration Date: | 04/12/2018 |
| Last Updated: | 04/12/2018 |
Provider Practice Location
1810 SULLIVANT AVE
COLUMBUS
OH
432221055
Practice Location Phone/Fax
| Phone: | 6147520333 |
| Fax: | 6149953268 |
Provider Mailing Location
1810 SULLIVANT AVE
COLUMBUS
OH
432221055
Provider Mailing Phone/Fax
| Phone: | 6147520333 |
| Fax: | 6149953268 |