Individual
CHAVON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S PATTERSON BLVD, DAYTON, OH 45402-2649
(937) 395-4600
Mailing address
6010 LEYDEN LN, HUBER HEIGHTS, OH 45424-3464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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