Individual
JOHANNA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MARTINEL DR, KENT, OH 44240-4380
(330) 673-6446
Mailing address
275 MARTINEL DR, KENT, OH 44240-4380
(330) 673-6446
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
600023
OH
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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