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Otimbum Wilson JR.
Professional Counselor in Cleveland, Ohio
NPI 1881122794

Otimbum Wilson JR. is a Professional Counselor based in Cleveland Heights, OH and is specialized in Professional. Otimbum Wilson JR. practices in Cleveland, OH. The NPI Number for Otimbum Wilson JR. is 1881122794 and holds a License No. E.2002019 (Ohio).

The current practice location address for Otimbum Wilson JR. is 1744 Payne Ave, Cleveland, OH and can be reached out via phone at 216-623-6555.

Location: 1744 Payne Ave, Cleveland, OH, 44118-2234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881122794
Provider Name
Otimbum Wilson JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1744 Payne Ave, Cleveland, OH, 44118-2234
Phone Number
216-623-6555
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1744 Payne Ave
City
Cleveland
State
Ohio
Zip
44114-2910
Phone Number
216-623-6555
Fax Number
person
Provider Business Mailing Address Details
Address
1744 Payne Ave
City
Cleveland
State
Ohio
Zip
44114-2910
Phone Number
216-623-6555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
E.2002019 (Ohio)
Definition
Definition to come...
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