Organization
CHALMERS P. WYLIE , AMBULATORY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE N. JONES MSW, LSW (SOCIAL WORKER/MENTAL HEALTH)
(614) 257-5498
Entity
Organization
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5498
(614) 257-5205
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5498
(614) 257-5205
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
S.0900647
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S. 0900647
STATE OF OHIO COUNSELOR AND SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD
OH
Enumeration date
07/15/2013
Last updated
10/31/2013
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