Shane Wilson
NPI #1053129007 in Pickerington, Ohio
Provider Information
- NPI Number
- 1053129007
- Entity Type
- Individual
- Name
- Shane Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Dec 23, 2024
Practice Location
- Address
- 10400 BLACKLICK EASTERN RD
- City
- Pickerington
- State
- Ohio
- ZIP Code
- 43147-8235
- Phone
- (614) 729-6900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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