Individual
BIANCA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OH
104100000X
Social Worker
Primary
—
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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