Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | I. 0700331 | OH |
NPI | 1003239583 |
---|---|
Provider Name | Paul Parker Wilkinson |
First Address | Columbus, OH 43202-3103 |
Second Address | Columbus, OH 43202-3103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2014 |
Last Update Date | 04/02/2014 |