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Individual

CAROLINE DORA BLOCK-WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, CPNP

Contact information

Practice address
5239 COLUMBUS RD STE A, GRANVILLE, OH 43023-9624
(614) 924-7412
(614) 683-5850
Mailing address
88 E MAYNARD AVE, COLUMBUS, OH 43202-2941

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN.CNP.023019
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023019
OH

Other

Enumeration date
08/15/2018
Last updated
10/01/2024
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