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Individual
MRS. SUSAN C WILSON
Active
Individual
MRS. SUSAN C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0025117
OH
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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