Individual
MISS PATRICE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSSW
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 875-2371
Mailing address
4960 CARBONDALE DR, COLUMBUS, OH 43232-4516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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