MR. John Roosevelt Wilson, LISW
NPI #1093955775 in Grove City, Ohio
Provider Information
- NPI Number
- 1093955775
- Entity Type
- Individual
- Name
- MR. John Roosevelt Wilson, LISW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Feb 20, 2009
- Last Updated
- Feb 20, 2009
Practice Location
- Address
- 1955 OHIO DR
- City
- Grove City
- State
- Ohio
- ZIP Code
- 43123-4835
- Phone
- (614) 257-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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