Individual
BAILEE NICOLLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 N MAIN ST, MARION, OH 43302-1736
(740) 914-5000
(740) 914-5005
Mailing address
827 N MAIN ST, MARION, OH 43302-1736
(740) 914-5000
(740) 914-5005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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