Individual
CASSIDY WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
Mailing address
102 DAWN LN, WAVERLY, OH 45690-9695
(740) 947-7783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701161
OH
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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