Larry Wilson

NPI #1063918167 in Wheelersburg, Ohio

Provider Information

NPI Number
1063918167
Entity Type
Individual
Name
Larry Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 5, 2018
Last Updated
Apr 5, 2018

Practice Location

Address
418 CENTER ST
State
Ohio
ZIP Code
45694-1712
Phone
(740) 776-2785

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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