MRS. Jennifer Wilson, CLC

NPI #1750656591 in Westerville, Ohio

Provider Information

NPI Number: 1750656591
Entity Type: Individual
Name: MRS. Jennifer Wilson, CLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CLC
Enumeration Date: Mar 13, 2012
Last Updated: Mar 13, 2012

Practice Location

Address: 7304 CLANCY WAY
City: Westerville
State: Ohio
ZIP Code: 43082-9306
Phone: (614) 537-8475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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