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1093955775
JOHN ROOSEVELT WILSON
GROVE CITY, OH
NPI
1093955775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OH I0600163)
Enumeration Date
2009-02-20
Last Update Date
2009-02-20
Business Address
MR. JOHN ROOSEVELT WILSON LISW
1955 OHIO DR
GROVE CITY, OH 43123-4835
Phone number: 614-257-5800
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Mailing Address
MR. JOHN ROOSEVELT WILSON LISW
339 WIND RUSH AVE
COLUMBUS, OH 43213-4439
Phone number: 614-986-8911
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