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Individual
THERESA O WILSON
Active
Individual
THERESA O WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, SAP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1000025-SUPV
OH
Other
Enumeration date
03/02/2012
Last updated
02/07/2024
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