Individual
EMILY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
3600 OLENTANGY RIVER RD., BLDG D, SUITE 207, COLUMBUS, OH 43214-1486
(614) 642-4932
Mailing address
3600 OLENTANGY RIVER RD., BLDG D, SUITE 207, COLUMBUS, OH 43214-1486
(614) 642-4932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901720-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I.1901720-SUPV
COUNSELOR , SOCIAL WORKER AND MFT BOARD
OH
Enumeration date
03/05/2018
Last updated
01/17/2023
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