LANE WILSON

VINCENT, OH
NPI1578254652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
LANE WILSON QMHS
10595 SR 550
VINCENT, OH 45784-5650
Phone number: 740-445-5113
Mailing Address
LANE WILSON QMHS
PO BOX 188
CHILLICOTHE, OH 45601-0188
Phone number: 740-773-4366
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