Individual
BENJAMIN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 S TERRACE AVE, COLUMBUS, OH 43204-3281
(614) 991-0131
Mailing address
12 S TERRACE AVE, COLUMBUS, OH 43204-3281
(614) 991-0131
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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