Individual
MISS EVIN WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 358-3205
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 251-6468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S 1501410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
03/31/2017
Last updated
09/15/2021
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