Individual
LAUREN A. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 774-6765
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 774-6765
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1500886
OH
106H00000X
Marriage & Family Therapist
M.1700015
OH
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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