DETRA WILSON

COLUMBUS, OH
NPI1184138919
Other NameDETRA WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-12-01
Last Update Date2017-12-01
Business Address
DETRA WILSON M.Ed
16 W LONG ST
COLUMBUS, OH 43215-2815
Phone number: 614-323-1285
Mailing Address
DETRA WILSON M.Ed
1046 LAVENDER LN
COLUMBUS, OH 43207-4290
Phone number: