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Individual

MS. GLENDA LAMB-WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
(937) 399-2701
Mailing address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
(937) 399-2701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0002649
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375281
ANTHEM
OH
01
0007711149
ATENA
OH
Enumeration date
10/31/2005
Last updated
07/08/2007
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