Individual
COURTNEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
67 MILL CREEK DR, BOARDMAN, OH 44512-1550
(330) 429-1528
Mailing address
67 MILL CREEK DR, BOARDMAN, OH 44512-1550
(330) 429-1528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203668
OH
Other
Enumeration date
06/02/2022
Last updated
06/07/2022
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