Individual
MR. JOHN ROOSEVELT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1955 OHIO DR, GROVE CITY, OH 43123-4835
(614) 257-5800
(614) 257-5801
Mailing address
339 WIND RUSH AVE, COLUMBUS, OH 43213-4439
(614) 986-8911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0600163
OH
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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