Individual
JACK WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISW-S
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 384-8069
Mailing address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 384-8069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1100212
OH
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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