Individual
CHRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
504 HALLMARK DR, EATON, OH 45320-8648
(937) 456-2805
Mailing address
153 GOLDENROD DR, EATON, OH 45320-2277
(513) 255-2452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1451015
OH
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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